| L. Jenae Henry | |
|
1644 Plaza Way # 302 Walla Walla WA 99362-4325 | |
| (509) 876-8065 | |
| (877) 560-9702 |
| Full Name | L. Jenae Henry |
|---|---|
| Speciality | Counselor - Professional |
| Location | 1644 Plaza Way # 302, Walla Walla, Washington |
| Authorized Official Name and Position | L Jenae Macnaughton (OWNER / DIRECTOR) |
| Authorized Official Contact | 5098768065 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| L. Jenae Henry 1644 Plaza Way # 302 Walla Walla WA 99362-4325 Ph: (509) 876-8065 | L. Jenae Henry 1644 Plaza Way # 302 Walla Walla WA 99362-4325 Ph: (509) 876-8065 |
| NPI Number | 1063183994 |
|---|---|
| Provider Enumeration Date | 09/21/2021 |
| Last Update Date | 09/21/2021 |
| Certification Date | 08/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063183994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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