Provider Demographics
NPI:1134385834
Name:SANTSCHI, JONNETH (LPC AZ, LPC MO)
Entity type:Individual
Prefix:
First Name:JONNETH
Middle Name:
Last Name:SANTSCHI
Suffix:
Gender:F
Credentials:LPC AZ, LPC MO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4531 N 16TH ST STE 114
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85016-5344
Mailing Address - Country:US
Mailing Address - Phone:602-464-9576
Mailing Address - Fax:573-334-3524
Practice Address - Street 1:18555 N 79TH AVE STE D107
Practice Address - Street 2:
Practice Address - City:GLENDALE
Practice Address - State:AZ
Practice Address - Zip Code:85308-6040
Practice Address - Country:US
Practice Address - Phone:623-777-3477
Practice Address - Fax:623-777-3478
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-01
Last Update Date:2022-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-18902101YP2500X, 101YP2500X
MO2008023003101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional