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Organization
LAKESHORE MIND AND FAMILY PLLC
Active
Organization
LAKESHORE MIND AND FAMILY PLLC
Active
Other names
LAKE SACAJAWEA MIND AND FAMILY, LAKE SACAJAWEA COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
ANIEZKA M JENISSEN LMHC (MANAGING MEMBER)
(360) 984-9018
Entity
Organization
Contact information
Practice address
1338 COMMERCE AVE STE 301, LONGVIEW, WA 98632-3726
(360) 984-9018
Mailing address
1338 COMMERCE AVE STE 301, LONGVIEW, WA 98632-3726
(360) 984-9018
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
06/02/2026
Last updated
06/02/2026
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