Individual
JENELLE LEARY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.ED, LMHCA
Contact information
Practice address
PO BOX 472, WHEATLAND, WY 82201-0472
(307) 331-7869
Mailing address
38 EXCHANGE ST, ROCKLAND, MA 02370-1714
(617) 869-6319
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC61554267
WA
Other
Enumeration date
07/25/2024
Last updated
07/25/2024
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