Individual
CELESTE JENISCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
400 NE MOTHER JOSEPH PL, VANCOUVER, WA 98664-3200
(360) 514-2000
Mailing address
5408 NE 15TH AVE, PORTLAND, OR 97211-4908
(360) 513-3019
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/21/2022
Last updated
09/21/2022
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