Individual
JENNIFER LEE GEORGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO61042218
Contact information
Practice address
4060 WHEATON WAY STE F, BREMERTON, WA 98310-3500
(360) 876-9430
Mailing address
4060 WHEATON WAY STE F, BREMERTON, WA 98310-3500
(360) 876-9430
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61042218
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CO61042218
—
WA
Enumeration date
08/28/2020
Last updated
08/28/2020
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