MEDICARE: DR. JENNIFER JOY BJERKE PH.D., LPC, NCC

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	101YP2500X	Professional Counselor	LPC-13051	AZ

General Provider Information

NPI Number	:	1871864835
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER JOY BJERKE PH.D., LPC, NCC

Provider Business Mailing Address
First Line	:	17142 E EL PUEBLO BLVD
Second Line	:
City	:	FOUNTAIN HILLS
State	:	AZ
Zip	:	85268-2506
Country	:	US
Telephone Number	:	480-212-3991
Fax Number	:	480-816-1701

Provider Business Practice Location Address
First Line	:	17142 E EL PUEBLO BLVD
Second Line	:
City	:	FOUNTAIN HILLS
State	:	AZ
Zip	:	85268-2506
Country	:	US
Telephone Number	:	480-212-3991
Fax Number	:	480-816-1701

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

Provider Enumeration Date	:	01/23/2012
Last Update Date	:	01/23/2012

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