Doctor Name: | MRS. JOLENE MARIE FEENEY |
NPI Number: | 1154502391 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | NCC, CDP, LMHC |
License Number: | |
Business Practice Address: | 10000 Ne 7th Ave Suite 215 Vancouver, WA - 986854599 |
Business Phone Number: | 3605749565 |
Business Fax Number: | |
Mailing Address: | 815 E 28th St, VANCOUVER |
State: | WA |
Postal Code: | 986633026 |
Phone Number: | 4065314105 |
Fax Number: | |
NPI Enumeration Date: | 11/15/2007 |
NPI Last Update Date: | 09/23/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 390200000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MT |
Taxonomy Type: | Student, Health Care |
Taxonomy Classification: | Student in an Organized Health Care Education/Training Program |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care. |