Individual
JENNIFER A DAVIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFTA
Contact information
Practice address
3233 NE 92ND ST, SEATTLE, WA 98115-3653
(646) 598-1156
Mailing address
3233 NE 92ND ST, SEATTLE, WA 98115-3653
(646) 598-1156
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
106H00000X
Marriage & Family Therapist
Primary
MFTA.MG.61271231
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
10/13/2020
Last updated
04/22/2022
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