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Charlene Nicole Ennis
Mental Health Counselor in Tumwater, Washington
NPI 1073113932

Charlene Nicole Ennis is a Mental Health Counselor based in Tunwater, WA and is specialized in Mental Health. Charlene Nicole Ennis practices in Tumwater, WA. The NPI Number for Charlene Nicole Ennis is 1073113932 and holds a License No. (Washington).

The current practice location address for Charlene Nicole Ennis is 3285 Ferguson St. Sw, Tumwater, WA and can be reached out via phone at 360-252-2989.

Location: 3285 Ferguson St. Sw, Tumwater, WA, 98512
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073113932
Provider Name
Charlene Nicole Ennis
Credential
Provider Entity Type
Individual
Gender
Female
Address
3285 Ferguson St. Sw, Tumwater, WA, 98512
Phone Number
360-252-2989
Fax Number
Provider Enumeration Date
10/29/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
3285 Ferguson St. Sw
City
Tumwater
State
Washington
Zip
98512
Phone Number
360-252-2989
Fax Number
person
Provider Business Mailing Address Details
Address
3285 Ferguson St. Sw
City
Tumwater
State
Washington
Zip
98512
Phone Number
360-252-2989
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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