Individual
DR. MICHAEL JENKINS-GUARNIERI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
1530 S UNION AVE, SUITES 14 & 16, TACOMA, WA 98405-1954
(253) 752-7320
Mailing address
1530 S UNION AVE, SUITES 14 & 16, TACOMA, WA 98405-1954
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60468244
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PY60468244
PSYCHOLOGY LICENSE
WA
Enumeration date
08/29/2013
Last updated
07/03/2014
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