Individual
JEANNIE ANN BENNETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2025 W NORTHERN AVE, PHOENIX, AZ 85021-5157
(833) 855-9973
Mailing address
8088 W WHITNEY DR, PEORIA, AZ 85345-6564
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-18126
AZ
Other
Enumeration date
01/21/2025
Last updated
01/21/2025
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