Individual
JENNIFER MARIE GROSS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15418 MAIN ST, MILL CREEK, WA 98012-9030
(425) 339-5453
(425) 252-4441
Mailing address
PO BOX 5127, EVERETT, WA 98206-5127
(425) 304-8431
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
00005653
WA
103TC0700X
Clinical Psychologist
Primary
PY61194123
WA
Other
Enumeration date
11/02/2006
Last updated
06/30/2023
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