Doctor Name: | MRS. AUDREY BETH JUNG |
NPI Number: | 1902885163 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC, DCC, NCC |
License Number: | LPC1691 |
Business Practice Address: | 1553 W Todd Dr Suite 103 Tempe, AZ - 852834805 |
Business Phone Number: | 6026977584 |
Business Fax Number: | 7755877529 |
Mailing Address: | 1553 W Todd Dr, Suite 103 TEMPE |
State: | AZ |
Postal Code: | 852834805 |
Phone Number: | 6026977584 |
Fax Number: | 7755877529 |
NPI Enumeration Date: | 01/15/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LPC1691 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AZ |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy 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 |