Gentry, Jeri

Gentry, Jeri is an individual health care provider with primary practice located at 2620 N 140Th Ave , Goodyear AZ 85395-2437. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Forensic, Behavioral Health & Social Service Providers / Group Psychotherapy, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Gentry, Jeri can be contacted via phone (623) 536-7956.

Contact Information

Primary practice address
2620 N 140Th Ave Goodyear AZ 85395-2437
Phone: (623) 536-7956
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X PSY-005288 Arizona
Behavioral Health & Social Service Providers / Forensic 103TF0200X PSY-005288 Arizona
Behavioral Health & Social Service Providers / Group Psychotherapy 103TP2701X PSY-005288 Arizona
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY-005288 Arizona

Profile Details

NPI number 1134470271
LBN Legal business name Gentry, Jeri
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 28th, 2012
Last updated Mar 17th, 2022 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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