MRS. JESSICA ANN GILLAM NPI 1417680901

NPI Information

  • NPI: 1417680901
  • Provider Name: MRS. JESSICA ANN GILLAM
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 2022 W BLAYLOCK DR
    PHOENIX, AZ
    ZIP 85085
  • Phone: (602) 459-1709

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NPI Details

MRS. Jessica Ann Gillam is a mental health counselor in Phoenix, AZ. MRS. Jessica Ann Gillam NPI is 1417680901. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2022 W BLAYLOCK DR
PHOENIX, AZ
ZIP 85085-718
Phone: (602) 459-1709

The enumeration date for this NPI number is 7/2/2022 and was last updated on 7/2/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental HealthLPC12819ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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