Individual
MRS. JENNIFER WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2012 SE 160TH PL, VANCOUVER, WA 98683-4411
(818) 378-6528
Mailing address
2012 SE 160TH PL, VANCOUVER, WA 98683-4411
(818) 378-6528
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
09/29/2017
Last updated
03/08/2023
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