Provider Demographics
NPI:1235611476
Name:JARVIS, CHLOE (MA, LMHC, SUDPT)
Entity Type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:JARVIS
Suffix:
Gender:F
Credentials:MA, LMHC, SUDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3024 12TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-4970
Mailing Address - Country:US
Mailing Address - Phone:360-561-8775
Mailing Address - Fax:
Practice Address - Street 1:3024 12TH AVE NE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-4970
Practice Address - Country:US
Practice Address - Phone:360-561-8775
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-04
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health