Provider Demographics
NPI:1164772729
Name:PRINTZ, JENNIFER KARI (MS LMFT)
Entity Type:Individual
Prefix:
First Name:JENNIFER
Middle Name:KARI
Last Name:PRINTZ
Suffix:
Gender:F
Credentials:MS LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3232 15TH AVE W APT 101
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-1754
Mailing Address - Country:US
Mailing Address - Phone:206-331-6038
Mailing Address - Fax:
Practice Address - Street 1:3232 15TH AVE W APT 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-1754
Practice Address - Country:US
Practice Address - Phone:206-331-6038
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-11
Last Update Date:2018-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG 60297962106H00000X
WALF60507341106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist