Individual
MRS. JACQUELINE NIENABER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMHC
Contact information
Practice address
16771 NE 80TH ST STE 108, REDMOND, WA 98052-3959
(425) 445-8260
Mailing address
16771 NE 80TH ST STE 108, REDMOND, WA 98052-3959
(425) 445-8260
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH60774656
WA
Other
Enumeration date
08/02/2019
Last updated
08/02/2019
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