Provider Demographics
NPI:1689379414
Name:JARROLD, JENNA KAPLAN (MS, LPC)
Entity Type:Individual
Prefix:
First Name:JENNA
Middle Name:KAPLAN
Last Name:JARROLD
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3904 N PLACITA LA VINA
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85719-1495
Mailing Address - Country:US
Mailing Address - Phone:520-343-3274
Mailing Address - Fax:
Practice Address - Street 1:3127 E 2ND ST
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85716-4209
Practice Address - Country:US
Practice Address - Phone:520-261-3364
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-03
Last Update Date:2023-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC21172101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health