person
Jennifer Marcella Wirt, LMHC
Mental Health Counselor in Raymond, Washington
NPI 1902409709

Jennifer Marcella Wirt is a Mental Health Counselor based in Chehalis, WA and is specialized in Mental Health. Jennifer Marcella Wirt practices in Raymond, WA and has the professional credentials of LMHC. The NPI Number for Jennifer Marcella Wirt is 1902409709 and holds a License No. LH61306829 (Washington).

The current practice location address for Jennifer Marcella Wirt is 300 Ocean Ave, Raymond, WA and can be reached out via phone at 360-942-3040 and via fax at 360-942-3955.

Location: 300 Ocean Ave, Raymond, WA, 98532-2412
person
Provider Profile Details
NPI Number
1902409709
Provider Name
Jennifer Marcella Wirt
Credential
LMHC
Provider Entity Type
Individual
Gender
Female
Address
300 Ocean Ave, Raymond, WA, 98532-2412
Phone Number
360-942-3040
Fax Number
360-942-3955
Provider Enumeration Date
11/16/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2212708 05 WA
institution
Provider Business Practice Location Address Details
Address
300 Ocean Ave
City
State
Zip
98577-3016
Phone Number
360-942-3040
Fax Number
360-942-3955
person
Provider Business Mailing Address Details
Address
300 Ocean Ave
City
State
Zip
98577-3016
Phone Number
360-942-3040
Fax Number
360-942-3955
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH61306829 (Washington)
Definition
Definition to come...
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