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Organization

JENNIFER CROKE PSYCHOTHERAPY

Active
Parent organization
YES
Other names
South Sound Counseling
Organization subpart
Yes

Provider details

NPI number
Legal business name
YES
Authorized official
MS. JENNIFER CROKE LICSW (PSYCHOTHERAPIST)
(917) 975-7712
Entity
Organization

Contact information

Practice address
31919 1ST AVE S, 203, FEDERAL WAY, WA 98003-5236
(253) 839-4172
(206) 429-2738
Mailing address
31919 1ST AVE S, 203, FEDERAL WAY, WA 98003-5236
(253) 839-4172

Taxonomy

Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LW 00009685
WA

Other

Enumeration date
10/17/2014
Last updated
10/17/2014
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