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Individual

JENNIFER L FADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMFT

Contact information

Practice address
307 S 12TH AVE STE 4B, YAKIMA, WA 98902-3137
(509) 575-8457
Mailing address
PO BOX 190, TOPPENISH, WA 98948-0190
(509) 865-2395

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LF60529993
WA
106H00000X
Marriage & Family Therapist
Primary
LF60529993
WA

Other

Enumeration date
12/06/2011
Last updated
05/21/2025
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