| Danielle D Jenkins Pllc | |
|
324 West Bay Drive Nw Suite 218 Olympia WA 98502-9850 | |
| (360) 339-4079 | |
| Not Available |
| Full Name | Danielle D Jenkins Pllc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 324 West Bay Drive Nw, Olympia, Washington |
| Authorized Official Name and Position | Danielle D Jenkins (OWNER) |
| Authorized Official Contact | 3603394079 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Danielle D Jenkins Pllc 4007 Bridgeport Way W Ste A University Place WA 98466-4330 Ph: (360) 339-4079 | Danielle D Jenkins Pllc 324 West Bay Drive Nw Suite 218 Olympia WA 98502-9850 Ph: (360) 339-4079 |
| NPI Number | 1427671403 |
|---|---|
| Provider Enumeration Date | 05/25/2020 |
| Last Update Date | 05/25/2020 |
| Certification Date | 05/25/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427671403 | NPI | - | NPPES |
| 1457723504 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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