Kaitlin Jean Clements Jenkins
Counselor, Mental Health in Longview, WA. Individual provider (NPI-1).
NPI number1982240313
StatusActive
Last updated in NPPESSep 19, 2022
Details
- NPI
- 1982240313
- Entity type
- Individual (NPI-1)
- Name
- Kaitlin Jean Clements Jenkins
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Nov 20, 2019
- Certification date
- Sep 19, 2022
- Last updated
- Sep 19, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | CG61023510 | WA | Yes |
Other names
- Kaitlin Jean Clements (Former Name)
Practice location
Columbia Wellness720 14th Ave
Longview, WA 98632
Phone 360-567-2211 · Fax 360-577-0187
Mailing address
Columbia Wellness720 14th Ave
Longview, WA 98632
Phone 360-353-9396 · Fax 360-577-0187
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