Healthcare Provider Details

I. General information

NPI: 1881532398
Provider Name (Legal Business Name): JESSICA TROTTER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/24/2026
Last Update Date: 03/24/2026
Certification Date: 03/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2222 S DOBSON RD STE 1101
MESA AZ
85202-6201
US

IV. Provider business mailing address

5650 S KYRENE RD APT 1257
TEMPE AZ
85283-1732
US

V. Phone/Fax

Practice location:
  • Phone: 480-382-6657
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: