person
Ms. Aniezka M Jenissen, LMHC,CDP
Addiction (Substance Use Disorder) Counselor in Longview, Washington
NPI 1144392325

Aniezka M Jenissen is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Aniezka M Jenissen practices in Longview, WA and has the professional credentials of LMHC,CDP. The NPI Number for Aniezka M Jenissen is 1144392325 and holds a License No. LH60706894 (Washington).

The current practice location address for Aniezka M Jenissen is 922 Fir St, Longview, WA and can be reached out via phone at 360-353-9422.

Location: 922 Fir St, Longview, WA, 98632-8486
person
Provider Profile Details
NPI Number
1144392325
Provider Name
Aniezka M Jenissen
Credential
LMHC,CDP
Provider Entity Type
Individual
Gender
Female
Address
922 Fir St, Longview, WA, 98632-8486
Phone Number
360-353-9422
Fax Number
Provider Enumeration Date
11/14/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
922 Fir St
City
State
Zip
98632-2525
Phone Number
360-353-9422
Fax Number
person
Provider Business Mailing Address Details
Address
922 Fir St
City
State
Zip
98632-2525
Phone Number
360-353-9422
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60067928 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH60706894 (Washington)
Definition
Definition to come...
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