Individual
JENNIFER NICOLE ROUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
314 W GALER ST STE 204, SEATTLE, WA 98119-3393
(425) 835-2258
Mailing address
314 W GALER ST STE 204, SEATTLE, WA 98119-3393
(425) 835-2258
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PY60737672
WA
Other
Enumeration date
09/11/2017
Last updated
04/10/2023
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