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Carol Jernigan, PSYD
Counselor in Phoenix, Arizona
NPI 1861145740

Carol Jernigan is a Counselor based in Phoenix, AZ. Carol Jernigan practices in Phoenix, AZ and has the professional credentials of PSYD. The NPI Number for Carol Jernigan is 1861145740 and holds a License No. (Arizona).

The current practice location address for Carol Jernigan is 1138 W Glenrosa Ave, Phoenix, AZ and can be reached out via phone at 602-459-0455.

Location: 1138 W Glenrosa Ave, Phoenix, AZ, 85013-2810
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861145740
Provider Name
Carol Jernigan
Credential
PSYD
Provider Entity Type
Individual
Gender
Female
Address
1138 W Glenrosa Ave, Phoenix, AZ, 85013-2810
Phone Number
602-459-0455
Fax Number
Provider Enumeration Date
01/31/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1138 W Glenrosa Ave
City
Phoenix
State
Arizona
Zip
85013-2810
Phone Number
602-459-0455
Fax Number
person
Provider Business Mailing Address Details
Address
1138 W Glenrosa Ave
City
Phoenix
State
Arizona
Zip
85013-2810
Phone Number
602-459-0455
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
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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