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Individual

AMY JENCINA PAULSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CG61113130

Contact information

Practice address
127 SAWALL AVE W APT 2, CENTRALIA, WA 98531-9208
(360) 623-3060
Mailing address
3436 MARY ELDER RD NE, OLYMPIA, WA 98506-5050

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CG61113130
WA

Other

Enumeration date
05/22/2023
Last updated
05/22/2023
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