Individual
JENNIFER KRISTINE MCGLYNN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2428 W. REYNODS AVE, CENTRALIA, WA 98531
(360) 330-9044
Mailing address
2428 W. REYNODS AVE, CENTRALIA, WA 98531
(360) 330-9044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CG60963218
WA
104100000X
Social Worker
LW61491945
WA
1041C0700X
Clinical Social Worker
Primary
LW61491945
WA
Other
Enumeration date
07/05/2019
Last updated
04/16/2024
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