Provider Demographics
NPI:1083210561
Name:GESS, JENNIFER (PHD, LCPC, LMHC)
Entity type:Individual
Prefix:DR
First Name:JENNIFER
Middle Name:
Last Name:GESS
Suffix:
Gender:F
Credentials:PHD, LCPC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19296 132ND ST SE
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-7875
Mailing Address - Country:US
Mailing Address - Phone:425-922-9016
Mailing Address - Fax:
Practice Address - Street 1:19296 132ND ST SE
Practice Address - Street 2:
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-7875
Practice Address - Country:US
Practice Address - Phone:425-922-9016
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-12-09
Last Update Date:2020-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-6571101YM0800X
WALH60389163101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health