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Individual

MRS. JENNIFER RENEE BATEMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CP60601437

Contact information

Practice address
10828 GRAVELLY LAKE DR SW STE 106, LAKEWOOD, WA 98499-1300
(253) 300-0537
Mailing address
10828 GRAVELLY LAKE DR SW STE 106, LAKEWOOD, WA 98499-1300
(253) 304-8572

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
CP6061437
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60601437
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2286492
WA
Enumeration date
06/03/2022
Last updated
07/16/2025
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