Individual
DR. JENNIFER BURRUEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MC, DBH
Contact information
Practice address
7301 N 16TH ST STE 100, PHOENIX, AZ 85020-5266
(602) 567-0263
(602) 567-0263
Mailing address
7301 N 16TH ST STE 100, PHOENIX, AZ 85020-5266
(602) 567-0263
(602) 567-0263
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
LPC-14129
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC-14129
LICENSED PROFESSIONAL COUNSELOR
AZ
Enumeration date
02/10/2010
Last updated
05/09/2020
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