NPI | 1144969411 |
---|---|
Former Name | JENNIFER RENEE MCNETT |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WA CP60601437) |
Additional Taxonomies | 101Y00000X Counselor (Licence: WA CP6061437) |
Enumeration Date | 2022-06-03 |
Last Update Date | 2025-07-16 |