Provider Demographics
NPI:1215704366
Name:PEPPERONI, LINDSEY JANE (MA, LMFTA)
Entity type:Individual
Prefix:
First Name:LINDSEY
Middle Name:JANE
Last Name:PEPPERONI
Suffix:
Gender:F
Credentials:MA, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1836 WESTLAKE AVE N STE 303
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2781
Mailing Address - Country:US
Mailing Address - Phone:206-207-7242
Mailing Address - Fax:
Practice Address - Street 1:1836 WESTLAKE AVE N STE 303
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2781
Practice Address - Country:US
Practice Address - Phone:206-207-7242
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-08
Last Update Date:2023-12-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61498300106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist