person
Jodi Marie Youngquist, LMHCA
Mental Health Counselor in Puyallup, Washington
NPI 1104486158

Jodi Marie Youngquist is a Mental Health Counselor based in Puyallup, WA and is specialized in Mental Health. Jodi Marie Youngquist practices in Puyallup, WA and has the professional credentials of LMHCA. The NPI Number for Jodi Marie Youngquist is 1104486158 and holds a License No. 60881855 (Washington).

The current practice location address for Jodi Marie Youngquist is 11102 Sunrise Blvd E Ste 100, Puyallup, WA and can be reached out via phone at 253-205-5807.

Location: 11102 Sunrise Blvd E Ste 100, Puyallup, WA, 98372-7123
person
Provider Profile Details
NPI Number
1104486158
Provider Name
Jodi Marie Youngquist
Credential
LMHCA
Provider Entity Type
Individual
Gender
Female
Address
11102 Sunrise Blvd E Ste 100, Puyallup, WA, 98372-7123
Phone Number
253-205-5807
Fax Number
Provider Enumeration Date
06/20/2019
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
60881855 01 WA WASHINGTON STATE DEPARTMENT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
11102 Sunrise Blvd E Ste 100
City
State
Zip
98374-8846
Phone Number
253-205-5807
Fax Number
person
Provider Business Mailing Address Details
Address
11102 Sunrise Blvd E Ste 100
City
State
Zip
98374-8846
Phone Number
253-205-5807
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
60881855 (Washington)
Definition
Definition to come...
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