Provider Demographics
NPI:1679613897
Name:HURD, MARGARET (PEGGY) JENKINS (MS)
Entity Type:Individual
Prefix:MRS
First Name:MARGARET (PEGGY)
Middle Name:JENKINS
Last Name:HURD
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4422 108TH ST SE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98208-4686
Mailing Address - Country:US
Mailing Address - Phone:425-337-7644
Mailing Address - Fax:
Practice Address - Street 1:1814 105TH ST SE
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98208-4816
Practice Address - Country:US
Practice Address - Phone:425-220-3908
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00048242106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist