Individual
JACLYN R KIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2633 E INDIAN SCHOOL RD STE 250, PHOENIX, AZ 85016-0703
(602) 831-2131
Mailing address
2633 E INDIAN SCHOOL RD STE 250, PHOENIX, AZ 85016-0703
(602) 831-2131
(480) 522-1121
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-17563
AZ
Other
Enumeration date
09/23/2020
Last updated
03/31/2025
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