Individual
JEANNE MARIE EKENBERG
Active
Individual
JEANNE MARIE EKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, CDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60416692
WA
1041C0700X
Clinical Social Worker
Primary
LW00004797
WA
Other
Enumeration date
02/25/2014
Last updated
02/05/2016
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