Jennifer Lee Bomberger Valid NPI
Individual provider · Mental Health Counselor · Goldendale, WA
- NPI
- 1871855221
- Type
- Individual (Type 1)
- Primary specialty
- Mental Health Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YM0800X
- License number
- LH60650503 (WA)
- Sex
- Female
- Sole proprietor
- Yes
- Enumerated
- 2012-06-12
- Last updated
- 2016-12-14
Practice location
915 S Columbus Ave
Goldendale, WA 98620-9068
(541) 910-2932