Individual
DR. JENAIS RADABAUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
2626 12TH CT SW STE 8, OLYMPIA, WA 98502-1163
(360) 317-2254
(360) 203-0049
Mailing address
2626 12TH CT SW STE 8, OLYMPIA, WA 98502-1163
(360) 317-2254
(360) 203-0049
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60793356
WA
Other
Enumeration date
09/09/2014
Last updated
04/13/2020
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