Organization · Type 2 NPI

Lake Sacajawea Counseling

Mental Health Counselor · Longview, WA

NPI number 1003791971 Active

Practice location

1338 Commerce Ave Ste 301
Longview, WA 98632-3726

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor Primary	101YM0800X	None listed

Mental Health Counselor: Definition to come...

Another provider at this address

Lakeshore Mind and Family PLLCMental Health Counselor Longview, WA NPI 1225960107

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NPI record

NPI: 1003791971
Entity type: Organization (Type 2)
Issued: Aug 8, 2025
Last updated: Jun 1, 2026
Status: Active

Other names

Lake Sacajawea Counseling · doing business as
Lake Sacajawea Mind and Family · doing business as
Lakeshore Mind and Family · other name

Authorized official

Aniezka Jenissen
Owner
(360) 984-9018

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About NPI 1003791971

Lake Sacajawea Counseling's National Provider Identifier is 1003791971, issued on Aug 8, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Longview, WA. The record was last updated on Jun 1, 2026.