Individual provider · Type 1 NPI
Jennifer Lee Bomberger
Mental Health Counselor · Goldendale, WA
NPI number
1871855221
Active
Practice location
915 S Columbus Ave
Goldendale, WA 98620-9068
Mailing address
402 Allison Way
Goldendale, WA 98620-9231
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | None listed |
| Mental Health Counselor Primary | 101YM0800X | LH60650503 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1871855221
Jennifer Lee Bomberger's National Provider Identifier is 1871855221, issued on Jun 12, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Goldendale, WA. The record was last updated on Dec 14, 2016.