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Organization
WENTWORTH MFT PLLC
Active
Organization
WENTWORTH MFT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER WENTWORTH LMFT MHP SUDPT (THERAPIST/OWNER)
(360) 960-0441
Entity
Organization
Contact information
Practice address
313 YELM AVE W, YELM, WA 98597-8036
(360) 960-0441
Mailing address
313 YELM AVE W, YELM, WA 98597-8036
(360) 960-0441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
11/03/2022
Last updated
11/03/2022
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