Jennifer Oetjen
Professional Counselor
1075 S Agnes Ln
Gilbert
, Arizona 85296-1459
Jennifer Oetjen
Professional Counselor
1075 S Agnes Ln
Gilbert
, Arizona 85296-1459
(480) 275-5700
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About
Features
Specialties
- Professional Counselor
Languages spoken
- English
Location
First Address
- Jennifer Oetjen
- 1075 S Agnes Ln
- Gilbert, AZ
- Zip : 85296-1459
- Phone : (480) 275-5700
Second Address
- Jennifer Oetjen
- 1075 S Agnes Ln
- Gilbert, AZ
- Zip : 85296-1459
- Phone : (480) 275-5700
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YP2500X | Professional Counselor | LAC-15461 | AZ |
National Provider Identifier
| NPI | 1003269143 |
|---|---|
| Provider Name | Jennifer Oetjen |
| First Address | Gilbert, AZ 85296-1459 |
| Second Address | Gilbert, AZ 85296-1459 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/07/2016 |
| Last Update Date | 13/07/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.