Jennifer Debora Hudson
Mental Health Counselor
1906 82nd Ave Ne
Lake Stevens
, Washington 98258
Jennifer Debora Hudson
Mental Health Counselor
1906 82nd Ave Ne
Lake Stevens
, Washington 98258
(425) 210-3328
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About
Features
Specialties
- Mental Health Counselor
Languages spoken
- English
Location
First Address
- Jennifer Debora Hudson
- 1906 82nd Ave Ne
- Lake Stevens, WA
- Zip : 98258-6472
- Phone : (425) 210-3328
Second Address
- Jennifer Debora Hudson
- 1906 82nd Ave Ne
- Lake Stevens, WA
- Zip : 98258
- Phone : (425) 397-6284
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 101YM0800X | Mental Health Counselor | LH60172378 | WA |
National Provider Identifier
| NPI | 1003007691 |
|---|---|
| Provider Name | Jennifer Debora Hudson |
| First Address | Lake Stevens, WA 98258-6472 |
| Second Address | Lake Stevens, WA 98258 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 07/08/2007 |
| Last Update Date | 25/10/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.