Provider Demographics
NPI:1588089254
Name:SCHULZ, JENNFIER (LMHC)
Entity type:Individual
Prefix:
First Name:JENNFIER
Middle Name:
Last Name:SCHULZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5116 S FARRAR ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2130
Mailing Address - Country:US
Mailing Address - Phone:206-371-0197
Mailing Address - Fax:
Practice Address - Street 1:5116 S FARRAR ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2130
Practice Address - Country:US
Practice Address - Phone:206-371-0197
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-04
Last Update Date:2014-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60195896101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health