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

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Mental Health Counselor Primary 101YM0800XLH60650503 (WA)

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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.