Individual
ALICIA MARIE JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9040 JACKSON AVE, TACOMA, WA 98431-1211
(253) 968-2252
Mailing address
1503 FARINA LOOP SE, OLYMPIA, WA 98513-9442
(470) 533-9701
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LH61518794
WA
101YP2500X
Professional Counselor
LPC013989
GA
Other
Enumeration date
06/13/2023
Last updated
07/29/2024
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