Individual
JENELLE BARTLETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
27023 164TH AVE SE, COVINGTON, WA 98042-8241
(253) 639-7146
(253) 639-7145
Mailing address
31621 32ND AVE SW, FEDERAL WAY, WA 98023-2252
(520) 371-1107
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60416007
WA
103K00000X
Behavior Analyst
Primary
—
—
Other
Enumeration date
11/15/2013
Last updated
09/02/2021
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