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Organization

JENWEL COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JENNIFER R WELTON LCSW (OWNER)
(406) 581-5830
Entity
Organization

Contact information

Practice address
260 SW MADISON AVE STE 119-1, CORVALLIS, OR 97333-4798
(406) 581-5830
Mailing address
PO BOX 1441, PHILOMATH, OR 97370-1441
(406) 581-5830

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
BBH-LCSW-19038
MT
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/11/2017
Last updated
07/25/2024
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