Individual provider · Type 1 NPI
Jenny Ivanov, B.A
Mental Health Counselor · Everett, WA
NPI number
1881985240
Active
Practice location
3322 Broadway
Everett, WA 98021
Fax (425) 349-6855
Mailing address
PO Box 3810
Everett, WA 98213
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1881985240
Jenny Ivanov, B.A's National Provider Identifier is 1881985240, issued on Apr 20, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Everett, WA. The record was last updated on Apr 20, 2011.