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Jennifer Diane Dale, MA
Mental Health Counselor in Longview, Washington
NPI 1831475904

Jennifer Diane Dale is a Mental Health Counselor based in Longview, WA and is specialized in Mental Health. Jennifer Diane Dale practices in Longview, WA and has the professional credentials of MA. The NPI Number for Jennifer Diane Dale is 1831475904 and holds a License No. (Washington).

The current practice location address for Jennifer Diane Dale is 921 14Th Ave, Longview, WA and can be reached out via phone at 503-349-1700.

Location: 921 14Th Ave, Longview, WA, 98632-2316
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831475904
Provider Name
Jennifer Diane Dale
Credential
MA
Provider Entity Type
Individual
Gender
Female
Address
921 14Th Ave, Longview, WA, 98632-2316
Phone Number
503-349-1700
Fax Number
Provider Enumeration Date
11/02/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
921 14Th Ave
City
Longview
State
Washington
Zip
98632-2316
Phone Number
503-349-1700
Fax Number
person
Provider Business Mailing Address Details
Address
921 14Th Ave
City
Longview
State
Washington
Zip
98632-2316
Phone Number
503-349-1700
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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