Provider Demographics
NPI:1760775100
Name:JONES, TAHNEY LYN (LMHC)
Entity Type:Individual
Prefix:
First Name:TAHNEY
Middle Name:LYN
Last Name:JONES
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17304 17TH DR SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-6477
Mailing Address - Country:US
Mailing Address - Phone:206-229-1937
Mailing Address - Fax:206-632-7173
Practice Address - Street 1:1100 NE 45TH ST
Practice Address - Street 2:SUITE 600
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-4683
Practice Address - Country:US
Practice Address - Phone:206-229-1937
Practice Address - Fax:206-632-7173
Is Sole Proprietor?:Yes
Enumeration Date:2011-05-18
Last Update Date:2012-01-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60197103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health