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Individual

MISS ALIX NICOLE JANSMA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LMHC

Contact information

Practice address
13206 BOTHELL EVERETT HWY STE 401A, MILL CREEK, WA 98012-3402
(860) 227-8526
Mailing address
10008 NE 120TH LN APT C302, KIRKLAND, WA 98034-6629
(860) 227-8526

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH61380474
WA

Other

Enumeration date
11/07/2023
Last updated
11/07/2023
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