Jacqueline Jarvis, ACSW ,LCSW
Counselor, Mental Health in Mesa, AZ. Individual provider (NPI-1).
NPI number1124154083
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124154083
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Jacqueline Jarvis
- Credential
- ACSW ,LCSW
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 26, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | LCSW-0339 | AZ | Yes |
Practice location
430 N Dobson RdSuite 110
Mesa, AZ 85201-5276
Phone 480-964-8771 · Fax 480-964-8865
Mailing address
430 N Dobson RdSuite 110
Mesa, AZ 85201-5276
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