Individual
MRS. JENNA MARIE PAULSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CL61184592
Contact information
Practice address
3400 SE 196TH AVE STE 102, CAMAS, WA 98607-8862
(360) 975-0512
Mailing address
5411 NE 107TH AVE STE 100, VANCOUVER, WA 98662-6347
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
OR
Other
Enumeration date
03/29/2022
Last updated
06/07/2023
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