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NPI Code Detail

MEDICARE: JENNIFER BRINK

MEDICARE: JENNIFER BRINK
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH61658486WA

General Provider Information

NPI Number : 1528770054
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER BRINK
Provider Business Mailing Address
First Line : 325 W GOWE ST
Second Line :
City : KENT
State : WA
Zip : 98032-5892
Country : US
Telephone Number : 253-833-7444
Fax Number :
Provider Business Practice Location Address
First Line : 325 W GOWE ST
Second Line :
City : KENT
State : WA
Zip : 98032-5892
Country : US
Telephone Number : 253-833-7444
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2022
Last Update Date : 01/30/2026

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Directions to “ JENNIFER BRINK ” Practice Location

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