Individual
MS. JENNIFER ELAINE WENTWORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA LMFT
Contact information
Practice address
10501 CREEK STREET SE, STE 2, YELM, WA 98597
(360) 960-0441
Mailing address
10501 CREEK STREET SE, STE 2, YELM, WA 98597
(360) 960-0441
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
106H00000X
Marriage & Family Therapist
LF61054557
WA
Other
Enumeration date
11/10/2011
Last updated
09/01/2021
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