Individual
MRS. JENNIFER ALEXIS MAXA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
AAC
Contact information
Practice address
1014 MAIN STREET, VANCOUVER, WA 98661
(360) 695-1014
(360) 750-1374
Mailing address
1014 MAIN STREET, VANCOUVER, WA 98661
(360) 695-1014
(360) 750-1374
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60153144
WA
Other
Enumeration date
03/22/2007
Last updated
12/24/2025
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