Individual
MISS JESSICA LYNN KATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBH, LCSW, MPA
Contact information
Practice address
2120 S MCCLINTOCK DR, SUITE 105, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Mailing address
1400 E SOUTHERN AVE, SUITE 735, TEMPE, AZ 85282-2692
(480) 804-0326
(480) 804-0083
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LMSW-13140
AZ
1041C0700X
Clinical Social Worker
Primary
LCSW- 16038
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
124582
—
AZ
Enumeration date
05/13/2011
Last updated
04/23/2017
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