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Jennifer Lee Bomberger
Mental Health Counselor in Goldendale, Washington
NPI 1871855221

Jennifer Lee Bomberger is a Mental Health Counselor based in Goldendale, WA and is specialized in Mental Health. Jennifer Lee Bomberger practices in Goldendale, WA. The NPI Number for Jennifer Lee Bomberger is 1871855221 and holds a License No. (Washington).

The current practice location address for Jennifer Lee Bomberger is 915 S Columbus Ave, Goldendale, WA and can be reached out via phone at 541-910-2932.

Location: 915 S Columbus Ave, Goldendale, WA, 98620-9231
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1871855221
Provider Name
Jennifer Lee Bomberger
Credential
Provider Entity Type
Individual
Gender
Female
Address
915 S Columbus Ave, Goldendale, WA, 98620-9231
Phone Number
541-910-2932
Fax Number
Provider Enumeration Date
06/12/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
915 S Columbus Ave
City
Goldendale
State
Washington
Zip
98620-9068
Phone Number
541-910-2932
Fax Number
person
Provider Business Mailing Address Details
Address
915 S Columbus Ave
City
Goldendale
State
Washington
Zip
98620-9068
Phone Number
541-910-2932
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH60650503 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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