Individual
JORDAN ASHAE JENECKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BS
Contact information
Practice address
1101 N ARGONNE RD, SPOKANE VALLEY, WA 99212-2699
(509) 838-4651
Mailing address
107 S DIVISION ST, SPOKANE, WA 99202-1510
(509) 838-4651
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60927831
WA
104100000X
Social Worker
Primary
SC61626420
WA
390200000X
Student in an Organized Health Care Education/Training Program
CG60927831
WA
Other
Enumeration date
01/09/2019
Last updated
04/01/2025
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