Provider Demographics
NPI:1821333071
Name:SCHNEIDER, JUDE A (LMHC)
Entity Type:Individual
Prefix:
First Name:JUDE
Middle Name:A
Last Name:SCHNEIDER
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 1:15600 116TH AVE NE
Mailing Address - Street 2:O-1
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-4130
Mailing Address - Country:US
Mailing Address - Phone:424-488-4231
Mailing Address - Fax:
Practice Address - Street 1:15600 116TH AVE NE
Practice Address - Street 2:O-1
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-4130
Practice Address - Country:US
Practice Address - Phone:424-488-4231
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-11-29
Last Update Date:2012-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00006439101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health