Individual provider · Type 1 NPI

Shantashius Wytriece Jennings

Mental Health Counselor · Everett, WA

NPI number 1720859374 Active

Practice location

2802 Broadway
Everett, WA 98201-3642

Mailing address

PO Box 839
Everett, WA 98206-0839

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1720859374

Shantashius Wytriece Jennings's National Provider Identifier is 1720859374, issued on Jan 12, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Everett, WA. The record was last updated on Jan 12, 2024.