Jessica May Bennett, M.A.
Individual provider Active NPI Marriage & Family Therapist · Auburn, WA
NPI 1376940403 · NPPES record last updated Dec 21, 2016
Key facts
- NPI
- 1376940403
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MG60654401 (WA)
- Practice address
- 4238 Auburn Way N
Auburn, WA 98002-1311 - Phone
- (253) 876-7600
- Fax
- (253) 876-7610
- NPI assigned
- Dec 4, 2014
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MG60654401 | WA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MG60654401 | WA | Yes |
Addresses
Primary practice location
4238 Auburn Way N
Auburn, WA 98002-1311
Mailing address
1600 E Olive St
Sound Mental Health
Seattle, WA 98122-2735
Phone (206) 302-2200
Other providers in Auburn, WA
- Gerard Mark Benecki
- Arielle Marie Beniot
- Elias Benitez-Rojero
- Alicia Bennett
- Daniel Fisk Bennett
- Kelly Benshoof
- Laurel Benz
- Christina Maria Beran
- Mallory G Berberich
- Aleah Beres
All providers in Auburn, WA · Marriage & Family Therapist in Washington
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 21, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.