Provider Demographics
NPI:1326331729
Name:ASIATA-TUUGA, JOSEPHINE JENNIFER
Entity Type:Individual
Prefix:MISS
First Name:JOSEPHINE
Middle Name:JENNIFER
Last Name:ASIATA-TUUGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2215 166TH STREET CT E
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98445-4533
Mailing Address - Country:US
Mailing Address - Phone:808-388-2408
Mailing Address - Fax:
Practice Address - Street 1:2215 166TH STREET CT E
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98445-4533
Practice Address - Country:US
Practice Address - Phone:808-388-2408
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2022-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI101YM0800X
HILCSW-42661041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health