Individual
JESSICA MARIE BETTENDORF
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7507 NE 51ST ST, VANCOUVER, WA 98662-6007
(360) 906-1190
Mailing address
7507 NE 51ST ST, VANCOUVER, WA 98662-6007
(360) 906-1190
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
61456725
WA
101YM0800X
Mental Health Counselor
LH61588961
WA
101YM0800X
Mental Health Counselor
R8594
OR
101YP2500X
Professional Counselor
Primary
C11140
OR
Other
Enumeration date
05/30/2017
Last updated
01/30/2026
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