Individual
JENNIFER R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4301 S PINE ST, TACOMA, WA 98409-7264
(253) 476-6500
(253) 476-6547
Mailing address
4301 S PINE ST, TACOMA, WA 98409-7264
(253) 476-6500
(253) 476-6547
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60428357
WA
103TC0700X
Clinical Psychologist
048.0107097
VT
Other
Enumeration date
09/10/2008
Last updated
05/17/2021
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