NPI 1003269143

Jennifer Oetjen, LAC

Practitioner Professional Counselor Gilbert, AZ

Practice location

Address: 1075 S Agnes Ln, Gilbert, AZ 85296-1459
Phone: (480) 275-5700

Registered specialties

Professional Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YP2500X Licence LAC-15461 (AZ)

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Registry record

NPI: 1003269143
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Jul 2016
Record last updated: 13 Jul 2016

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.