Jolene Bristow, RN, LPC

NPI #1316029952 in Green Valley, Arizona

Provider Information

NPI Number: 1316029952
Entity Type: Individual
Name: Jolene Bristow, RN, LPC
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: RN, LPC
Enumeration Date: Oct 20, 2006
Last Updated: Jun 22, 2010

Practice Location

Address: 701 N. LA CANADA DRIVE
Address 2: SUITE 90
City: Green Valley
State: Arizona
ZIP Code: 85614
Phone: (520) 625-3835

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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