Individual
JENNA NICOLE MANSFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10604 NE HIGHWAY 99, VANCOUVER, WA 98686-5613
(360) 644-1631
Mailing address
1111 W COLUMBIA WAY APT 525, VANCOUVER, WA 98660-3620
(208) 994-1401
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/03/2021
Last updated
01/30/2024
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