MEDICARE: JENNA MUNIZ LPC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LPC-23555	AZ

General Provider Information

NPI Number	:	1861202426
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNA MUNIZ LPC

Provider Business Mailing Address
First Line	:	7330 N 16TH ST STE C115
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-8209
Country	:	US
Telephone Number	:	602-529-4774
Fax Number	:	480-956-0655

Provider Business Practice Location Address
First Line	:	7330 N 16TH ST STE C115
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85020-8209
Country	:	US
Telephone Number	:	602-529-4774
Fax Number	:	480-956-0655

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2025
Last Update Date	:	01/20/2026

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Directions to “ JENNA MUNIZ LPC” Practice Location

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