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NPI Code Detail

MEDICARE: EMMA SINCLAIR JENNINGS LMHC

MEDICARE:   EMMA SINCLAIR JENNINGS  LMHC
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
1101Y00000XCounselor
2106S00000XBehavior TechnicianWA
3390200000XStudent in an Organized Health Care Education/Training ProgramWA
4101YM0800XMental Health CounselorLH61214228WA

General Provider Information

NPI Number : 1801312061
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMA SINCLAIR JENNINGS LMHC
Provider Business Mailing Address
First Line : 1503 SE 104TH CT
Second Line :
City : VANCOUVER
State : WA
Zip : 98664-4777
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2100 24TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98144-4637
Country : US
Telephone Number : 360-903-2876
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2017
Last Update Date : 11/07/2021

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Directions to “ EMMA SINCLAIR JENNINGS LMHC” Practice Location

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