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Organization

DANIELLE D JENKINS PLLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DANIELLE D JENKINS PSYD (OWNER)
(360) 339-4079
Entity
Organization

Contact information

Practice address
324 WEST BAY DRIVE NW, SUITE 218, OLYMPIA, WA 98502-9850
(360) 339-4079
Mailing address
4007 BRIDGEPORT WAY W STE A, UNIVERSITY PLACE, WA 98466-4330
(360) 339-4079

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1457723504
NPI
Enumeration date
05/25/2020
Last updated
05/25/2020
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