Individual provider · Type 1 NPI

Jolene Bristow, RN, LPC

Mental Health Counselor · Green Valley, AZ

NPI number 1316029952 Active

Practice location

701 N. La Canada Drive, Suite 90
Green Valley, AZ 85614

Call (520) 625-3835 Map

Fax (520) 625-5585

Mailing address

218 W Pinon Dr
Green Valley, AZ 85614-4332

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLPC 12398 (AZ)

Mental Health Counselor: Definition to come...

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About NPI 1316029952

Jolene Bristow, RN, LPC's National Provider Identifier is 1316029952, issued on Oct 20, 2006. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Green Valley, AZ. The record was last updated on Jun 22, 2010.