Individual provider · Type 1 NPI
Jennifer Oetjen, LAC
Professional Counselor · Gilbert, AZ
NPI number
1003269143
Active
Practice location
1075 S Agnes Ln
Gilbert, AZ 85296-1459
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | LAC-15461 (AZ) |
Professional Counselor: Definition to come...
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About NPI 1003269143
Jennifer Oetjen, LAC's National Provider Identifier is 1003269143, issued on Jul 13, 2016. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Gilbert, AZ. The record was last updated on Jul 13, 2016.