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JANEEN BLLY
Professional >> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1437542610
Individual Registrant: JANEEN BLLY
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
13395 N MARANA MAIN ST MARANA, AZ 85653-7008 US
Tel: 520-682-4111 Fax: --
Tel: 520-682-4111 Fax: --
Contact information for business:
14338 N CERAMIC FLUTE AVE MARANA, AZ 85658-4609 US
Tel: -- Fax: --
Tel: -- Fax: --
Registration Information:
NPI: 1437542610
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor Professional | AZ | LPC-15207 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
