Individual provider · Type 1 NPI
Jennifer Jo Mellum, LMHC
Professional Counselor · Phoenix, AZ
NPI number
1396212544
Active
Practice location
702 E Bell Rd Ste 107
Phoenix, AZ 85022-6639
Mailing address
28923 N 124th Gln
Peoria, AZ 85383-0366
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 60899386 (WA) |
| Mental Health Counselor | 101YM0800X | LH61109476 (WA) |
| Professional Counselor Primary | 101YP2500X | LPC22918 (AZ) |
Professional Counselor: Definition to come...
2 other providers at this address
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About NPI 1396212544
Jennifer Jo Mellum, LMHC's National Provider Identifier is 1396212544, issued on Oct 25, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Phoenix, AZ. The record was last updated on Apr 28, 2025.