Jacqueline Jendrisak
Counselor in Prescott, AZ. Individual provider (NPI-1).
NPI number1245083708
StatusActive
Last updated in NPPESApr 29, 2026
Details
- NPI
- 1245083708
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Jendrisak
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Apr 8, 2024
- Certification date
- Apr 29, 2026
- Last updated
- Apr 29, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | LAC-20296 | AZ | Yes |
| 101Y00000X | Counselor | – | – |
Practice location
600 E Gurley StPrescott, AZ 86301-3246
Phone 000-000-0000
Mailing address
600 E Gurley St Ste APrescott, AZ 86301-3246
Phone 602-541-2044
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All 33 Counselor providers in Prescott · All 2,576 providers in Prescott
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