Individual provider · Type 1 NPI

Jennifer Marcella Wirt, LMHC

Mental Health Counselor · Raymond, WA

NPI number 1902409709 Active

Practice location

300 Ocean Ave
Raymond, WA 98577-3016

Fax (360) 942-3955

Mailing address

2690 NE Kresky Ave
Chehalis, WA 98532-2412

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLH61306829 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1902409709

Jennifer Marcella Wirt, LMHC's National Provider Identifier is 1902409709, issued on Nov 16, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Raymond, WA. The record was last updated on Sep 18, 2023.