Provider Demographics
NPI:1588895114
Name:NGUYEN, JENNIFER QUAN
Entity type:Individual
Prefix:MISS
First Name:JENNIFER
Middle Name:QUAN
Last Name:NGUYEN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3401 WALLINGFORD AVE N APT 311
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-9070
Mailing Address - Country:US
Mailing Address - Phone:720-515-0298
Mailing Address - Fax:
Practice Address - Street 1:3401 WALLINGFORD AVE N APT 311
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-9070
Practice Address - Country:US
Practice Address - Phone:720-515-0298
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-30
Last Update Date:2022-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator