Provider Demographics
NPI:1003698077
Name:MORGENTHALER, JESSICA (CSWA, LISCWA)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:
Last Name:MORGENTHALER
Suffix:
Gender:
Credentials:CSWA, LISCWA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1780 BARNES BLVD SW
Mailing Address - Street 2:
Mailing Address - City:TUMWATER
Mailing Address - State:WA
Mailing Address - Zip Code:98512-0410
Mailing Address - Country:US
Mailing Address - Phone:503-563-0565
Mailing Address - Fax:
Practice Address - Street 1:3606 MAIN ST STE 205
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-2235
Practice Address - Country:US
Practice Address - Phone:360-619-2226
Practice Address - Fax:360-326-9691
Is Sole Proprietor?:No
Enumeration Date:2023-10-16
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health