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Organization
JENNIFER BROOKE SJOSTROM
Active
Organization
JENNIFER BROOKE SJOSTROM
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JENNIFER BROOKE SJOSTROM MS (PSYCHOTHERAPIST)
(208) 691-1174
Entity
Organization
Contact information
Practice address
4407 N DIVISION ST STE 603, SPOKANE, WA 99207-1660
(208) 467-4931
Mailing address
PO BOX 129, LIBERTY LAKE, WA 99019-0129
(208) 691-1174
(208) 247-8513
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LCPC-4347
ID
101YM0800X
Mental Health Counselor
Primary
LH00007832
WA
Other
Enumeration date
05/03/2016
Last updated
05/03/2016
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