Provider Demographics
NPI:1760921399
Name:JEFF BAFUS COUNSELING & CONSULTATION
Entity Type:Organization
Organization Name:JEFF BAFUS COUNSELING & CONSULTATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:JEFFERY
Authorized Official - Middle Name:
Authorized Official - Last Name:BAFUS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:903-309-0476
Mailing Address - Street 1:3214 W GRANDVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-5524
Mailing Address - Country:US
Mailing Address - Phone:903-309-0476
Mailing Address - Fax:
Practice Address - Street 1:3214 W GRANDVIEW AVE
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99224-5524
Practice Address - Country:US
Practice Address - Phone:903-309-0476
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-15
Last Update Date:2017-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60496366251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health