Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mrs. Jessica Ann Gillam

Individual provider Mental Health Counselor · NPI 1417680901

Mrs. Jessica Ann Gillam is a Mental Health Counselor in Phoenix, Arizona. Practices as a sole proprietor. Licensed in Arizona.

Licensed in
AZ
In the registry since
2022

Practice location Address checks out

2022 W Blaylock Dr
Phoenix, AZ 85085-1718
Phone: (602) 459-1709
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LPC12819 (AZ)

Record details

NPI number1417680901
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedJuly 2, 2022
Last updated in NPPESJuly 2, 2022
Certification dateJuly 2, 2022

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