Individual
JENNY WASHBURN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, L-AAC
Contact information
Practice address
748 14TH AVE, LONGVIEW, WA 98632-2315
(360) 200-5419
(360) 200-6736
Mailing address
PO BOX 2394, LONGVIEW, WA 98632-8455
(360) 200-5419
(844) 612-6673
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CU61492943
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2133412
—
WA
Enumeration date
07/26/2018
Last updated
11/06/2025
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