Jacqueline Wastal
Jacqueline Wastal is a Mental Health Counselor in Phoenix, Arizona. Registered with an NPI since 2022.
- In the registry since
- 2022
Practice location Address checks out
5040 E Shea Blvd #164Phoenix, AZ 85028
Phone: (480) 641-1165
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Counselor (primary) | Taxonomy 101YM0800X |
|---|
Record details
| NPI number | 1669106290 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | July 11, 2022 |
| Last updated in NPPES | July 11, 2022 |
| Certification date | June 11, 2022 |
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