Provider Demographics
NPI:1316405939
Name:ABARZUA, JAENA KAE (MC, LPC/LMHC)
Entity Type:Individual
Prefix:
First Name:JAENA
Middle Name:KAE
Last Name:ABARZUA
Suffix:
Gender:F
Credentials:MC, LPC/LMHC
Other - Prefix:
Other - First Name:JAENA
Other - Middle Name:KAE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MC, LPC
Mailing Address - Street 1:111 HEKILI ST STE A241
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2800
Mailing Address - Country:US
Mailing Address - Phone:480-256-2605
Mailing Address - Fax:
Practice Address - Street 1:7420 E CAMELBACK RD STE 101
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85251-3509
Practice Address - Country:US
Practice Address - Phone:480-256-2605
Practice Address - Fax:480-297-0100
Is Sole Proprietor?:No
Enumeration Date:2019-03-04
Last Update Date:2023-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLAC-17524101YM0800X
AZLPC-19452101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health