Jennifer Jaeckel's National Provider Identifier (NPI) Details
Jennifer Jaeckel, LICSW
NPI: 1457860694
Enumeration Date: 2017-09-20
Last updated: 2019-06-25
Sole Proprietor: NO
Status: active
Postal Address: 3141 N 3RD AVE, PHOENIX, AZ
Phone: 602-914-1520
Primary Practice Address: 2929 E THOMAS RD, PHOENIX, AZ
Practice's phone: 602-470-5000