Provider Demographics
NPI:1578522629
Name:EAKINS, JEAN W (LMFT)
Entity Type:Individual
Prefix:
First Name:JEAN
Middle Name:W
Last Name:EAKINS
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5009 TALBOT PL S
Mailing Address - Street 2:UNIT D
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98055-7931
Mailing Address - Country:US
Mailing Address - Phone:425-226-6438
Mailing Address - Fax:
Practice Address - Street 1:1700 EDMONDS AVE NE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-2713
Practice Address - Country:US
Practice Address - Phone:425-271-9711
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-03-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF918106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist