Individual
JENNIFER L CHRISTOPHEL LICHTI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW
Contact information
Practice address
825 EASTLAKE AVENUE E., MAIL STOP K2-231, SEATTLE, WA 98109-1023
(206) 606-5691
(206) 606-1074
Mailing address
6626 E 75TH STREET, SUITE 500, INDIANAPOLIS, IN 46250-2890
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
34005191A
IN
1041C0700X
Clinical Social Worker
Primary
LW61044135
WA
Other
Enumeration date
04/15/2015
Last updated
09/19/2024
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