Provider Demographics
NPI:1093202681
Name:PARRETTA, JENNIFER MICHELLE (LMFTA, ATR-P)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:MICHELLE
Last Name:PARRETTA
Suffix:
Gender:F
Credentials:LMFTA, ATR-P
Other - Prefix:
Other - First Name:JENN
Other - Middle Name:
Other - Last Name:PARRETTA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFTA, ATR-P
Mailing Address - Street 1:950 PACIFIC AVE STE 405
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98402-4441
Mailing Address - Country:US
Mailing Address - Phone:425-477-9355
Mailing Address - Fax:425-249-3289
Practice Address - Street 1:950 PACIFIC AVE STE 405
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98402-4441
Practice Address - Country:US
Practice Address - Phone:425-477-9355
Practice Address - Fax:425-249-3289
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-18
Last Update Date:2024-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
221700000X
WAMG61205174106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No221700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersArt Therapist