Individual
JANESSA CORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
Mailing address
711 STATE AVE NE, OLYMPIA, WA 98506-3984
(360) 943-0780
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG61523275
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100904
—
WA
Enumeration date
06/13/2018
Last updated
01/18/2024
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