Provider Demographics
NPI:1740558394
Name:WEHRELL, JORIE D (LMFT)
Entity Type:Individual
Prefix:MS
First Name:JORIE
Middle Name:D
Last Name:WEHRELL
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 1:228 24TH AVE E
Mailing Address - Street 2:UNIT B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98112-5404
Mailing Address - Country:US
Mailing Address - Phone:360-305-4522
Mailing Address - Fax:
Practice Address - Street 1:2915 E MADISON ST
Practice Address - Street 2:SUITE 306
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-4265
Practice Address - Country:US
Practice Address - Phone:360-305-4522
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-12-11
Last Update Date:2011-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60231144106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist