Individual
MRS. JENNIFER ADAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG61318957
WA
175T00000X
Peer Specialist
Primary
CG61318957
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/15/2022
Last updated
11/07/2022
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