Individual provider · Type 1 NPI

Jacqueline Jendrisak

Counselor · Prescott, AZ

NPI number 1245083708 Active

Practice location

600 E Gurley St
Prescott, AZ 86301-3246

Call (000) 000-0000 Map

Mailing address

600 E Gurley St Ste A
Prescott, AZ 86301-3246

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLAC-20296 (AZ)
Counselor 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1245083708

Jacqueline Jendrisak's National Provider Identifier is 1245083708, issued on Apr 8, 2024. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Prescott, AZ. The record was last updated on Apr 29, 2026.