Individual
JENNIFER ANN KONING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
748 MARKET ST, TACOMA, WA 98402-3737
(737) 992-2884
Mailing address
748 MARKET ST, TACOMA, WA 98402-3737
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60280222
WA
101YM0800X
Mental Health Counselor
CG60280222
WA
1041C0700X
Clinical Social Worker
Primary
LW60509442
WA
Other
Enumeration date
04/08/2013
Last updated
01/10/2022
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