Individual
JENNIFER JO MELLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
60899386
WA
101YM0800X
Mental Health Counselor
LH61109476
WA
101YP2500X
Professional Counselor
Primary
LPC22918
AZ
Other
Enumeration date
10/25/2018
Last updated
04/28/2025
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