person
Mrs. Jessica Ann Gillam
Mental Health Counselor in Phoenix, Arizona
NPI 1417680901

Jessica Ann Gillam is a Mental Health Counselor based in Phoenix, AZ and is specialized in Mental Health. Jessica Ann Gillam practices in Phoenix, AZ. The NPI Number for Jessica Ann Gillam is 1417680901 and holds a License No. LPC12819 (Arizona).

The current practice location address for Jessica Ann Gillam is 2022 W Blaylock Dr, Phoenix, AZ and can be reached out via phone at 602-459-1709.

Location: 2022 W Blaylock Dr, Phoenix, AZ, 85085-1718
person
Provider Profile Details
NPI Number
1417680901
Provider Name
Jessica Ann Gillam
Credential
Provider Entity Type
Individual
Gender
Female
Address
2022 W Blaylock Dr, Phoenix, AZ, 85085-1718
Phone Number
602-459-1709
Fax Number
Provider Enumeration Date
07/02/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2022 W Blaylock Dr
City
State
Zip
85085-1718
Phone Number
602-459-1709
Fax Number
person
Provider Business Mailing Address Details
Address
2022 W Blaylock Dr
City
State
Zip
85085-1718
Phone Number
602-459-1709
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LPC12819 (Arizona)
Definition
Definition to come...
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