Jacqueline Jendrisak
Jacqueline Jendrisak is a Counselor in Prescott, Arizona. Licensed in Arizona. Registered with an NPI since 2024.
- Licensed in
- AZ
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
600 E Gurley StPrescott, AZ 86301-3246
Phone: (000) 000-0000
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Specialties & licences
| Counselor (primary) | Taxonomy 101Y00000X · Licence LAC-20296 (AZ) |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1245083708 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | April 8, 2024 |
| Last updated in NPPES | April 29, 2026 |
| Certification date | April 29, 2026 |
| Mailing address | 600 E Gurley St Ste A, Prescott, AZ 86301-3246 |
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