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Individual

MRS. JENNIFER L CALDWELL-HOSKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
4816 SHE NAH NUM DR SE, OLYMPIA, WA 98513-9105
(360) 456-5221
(360) 455-4620
Mailing address
4816 SHE NAH NUM DR SE, OLYMPIA, WA 98513-9105
(360) 456-5221
(360) 455-4620

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC 00045557
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60028073
WA

Other

Enumeration date
06/16/2009
Last updated
06/16/2009
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