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Amy Jencina Paulson, CG61113130
Mental Health Counselor in Centralia, Washington
NPI 1033801717

Amy Jencina Paulson is a Mental Health Counselor based in Olympia, WA and is specialized in Mental Health. Amy Jencina Paulson practices in Centralia, WA and has the professional credentials of CG61113130. The NPI Number for Amy Jencina Paulson is 1033801717 and holds a License No. CG61113130 (Washington).

The current practice location address for Amy Jencina Paulson is 127 Sawall Ave W Apt 2, Centralia, WA and can be reached out via phone at 360-623-3060.

Location: 127 Sawall Ave W Apt 2, Centralia, WA, 98506-5050
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1033801717
Provider Name
Amy Jencina Paulson
Credential
CG61113130
Provider Entity Type
Individual
Gender
Female
Address
127 Sawall Ave W Apt 2, Centralia, WA, 98506-5050
Phone Number
360-623-3060
Fax Number
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
127 Sawall Ave W Apt 2
City
Centralia
State
Washington
Zip
98531-9208
Phone Number
360-623-3060
Fax Number
person
Provider Business Mailing Address Details
Address
127 Sawall Ave W Apt 2
City
Centralia
State
Washington
Zip
98531-9208
Phone Number
360-623-3060
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
CG61113130 (Washington)
Definition
Definition to come...
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