Individual
MELANIE JENSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-6057
Mailing address
900 7TH ST, CLARKSTON, WA 99403-2005
(509) 758-3341
(509) 769-6057
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60498949
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1000001
ST OF WA
WA
Enumeration date
02/17/2016
Last updated
02/17/2016
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