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Organization
JENWEL COUNSELING LLC
Active
Organization
JENWEL COUNSELING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JENNIFER R WELTON LCSW (OWNER)
(406) 581-5830
Entity
Organization
Contact information
Practice address
260 SW MADISON AVE STE 119-1, CORVALLIS, OR 97333-4798
(406) 581-5830
Mailing address
PO BOX 1441, PHILOMATH, OR 97370-1441
(406) 581-5830
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
BBH-LCSW-19038
MT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/11/2017
Last updated
07/25/2024
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