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Individual

MS. ANIEZKA M JENISSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, CDP

Contact information

Practice address
945 11TH AVE STE B, LONGVIEW, WA 98632-2555
(360) 414-8600
(360) 636-7372
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60067928
WA
101YM0800X
Mental Health Counselor
Primary
LH60706894
WA

Other

Enumeration date
11/14/2006
Last updated
06/10/2026
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