Organization
LAKE SACAJAWEA COUNSELING
Active
Other names
LAKESHORE MIND AND FAMILY, LAKE SACAJAWEA MIND AND FAMILY, LAKE SACAJAWEA COUNSELING
Organization subpart
No
Provider details
NPI number
Authorized official
ANIEZKA JENISSEN (OWNER)
(360) 984-9018
Entity
Organization
Contact information
Practice address
1338 COMMERCE AVE STE 301, LONGVIEW, WA 98632-3726
(206) 331-6660
Mailing address
1338 COMMERCE AVE STE 301, LONGVIEW, WA 98632-3726
(206) 331-6660
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
08/08/2025
Last updated
06/01/2026
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