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Organization

IMPACT COMPASSION CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER FELICITAS LMHC (EXECUTIVE DIRECTOR)
(509) 579-0006
Entity
Organization

Contact information

Practice address
220 W KENNEWICK AVE, KENNEWICK, WA 99336-3828
(509) 579-0006
Mailing address
220 W KENNEWICK AVE, KENNEWICK, WA 99336-3828
(509) 579-0006

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YA0400X
Addiction (Substance Use Disorder) Counselor
101YM0800X
Mental Health Counselor
104100000X
Social Worker
106H00000X
Marriage & Family Therapist
171M00000X
Case Manager/Care Coordinator
175T00000X
Peer Specialist
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
251V00000X
Voluntary or Charitable Agency
343900000X
Non-emergency Medical Transport (VAN)
405300000X
Prevention Professional

Other

Enumeration date
01/30/2019
Last updated
03/31/2025
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