Provider Demographics
NPI:1629686654
Name:EMOTESY CHILD AND FAMILY COUNSELING SERVICES, PLLC
Entity Type:Organization
Organization Name:EMOTESY CHILD AND FAMILY COUNSELING SERVICES, PLLC
Other - Org Name:JENNIFER DAFFON, PSYD, LMHC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JENNIFER
Authorized Official - Middle Name:KLOCKER
Authorized Official - Last Name:DAFFON
Authorized Official - Suffix:
Authorized Official - Credentials:PSYD
Authorized Official - Phone:425-344-2596
Mailing Address - Street 1:19730 64TH AVE W STE 301
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5957
Mailing Address - Country:US
Mailing Address - Phone:425-686-9627
Mailing Address - Fax:206-489-3100
Practice Address - Street 1:19730 64TH AVE W STE 301
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5957
Practice Address - Country:US
Practice Address - Phone:425-686-9627
Practice Address - Fax:206-489-3100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-07-15
Last Update Date:2023-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC2200XBehavioral Health & Social Service ProvidersPsychologistClinical Child & AdolescentGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty