Individual provider · Type 1 NPI

Carolyn Jaedecke

Counselor · Phoenix, AZ

NPI number 1346193240 Active

Practice location

11201 N Tatum Blvd Ste 300
Phoenix, AZ 85028-6039

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XLPC-17408 (AZ)

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 1346193240

Carolyn Jaedecke's National Provider Identifier is 1346193240, issued on Feb 19, 2026. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Phoenix, AZ. The record was last updated on Feb 19, 2026.