Individual
JAN EISENHARDT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
2012 NE 65TH ST, SEATTLE, WA 98115-6934
(206) 523-9133
Mailing address
2012 NE 65TH ST, SEATTLE, WA 98115-6934
(206) 523-9133
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF00001522
WA
Other
Enumeration date
02/21/2007
Last updated
07/08/2007
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