Individual
JENIFER LYNN MARSHALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, CDP
Contact information
Practice address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
(206) 323-0933
Mailing address
1116 SUMMIT AVE, SEATTLE, WA 98101-2831
(206) 323-0930
(206) 323-0933
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00001793
WA
Other
Enumeration date
03/29/2012
Last updated
03/29/2012
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