person
Jacqueline Wastal
Mental Health Counselor in Phoenix, Arizona
NPI 1669106290

Jacqueline Wastal is a Mental Health Counselor based in Peoria, AZ and is specialized in Mental Health. Jacqueline Wastal practices in Phoenix, AZ. The NPI Number for Jacqueline Wastal is 1669106290 and holds a License No. (Arizona).

The current practice location address for Jacqueline Wastal is 5040 E Shea Blvd #164, Phoenix, AZ and can be reached out via phone at 480-641-1165.

Location: 5040 E Shea Blvd #164, Phoenix, AZ, 85382-3889
person
Provider Profile Details
NPI Number
1669106290
Provider Name
Jacqueline Wastal
Credential
Provider Entity Type
Individual
Gender
Female
Address
5040 E Shea Blvd #164, Phoenix, AZ, 85382-3889
Phone Number
480-641-1165
Fax Number
Provider Enumeration Date
07/11/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5040 E Shea Blvd #164
City
State
Zip
85028
Phone Number
480-641-1165
Fax Number
person
Provider Business Mailing Address Details
Address
5040 E Shea Blvd #164
City
State
Zip
85028
Phone Number
480-641-1165
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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