Provider Demographics
NPI:1184920803
Name:APPLING, JENNA MARIE GENZALE (MA, LMFT, CDP)
Entity type:Individual
Prefix:
First Name:JENNA
Middle Name:MARIE GENZALE
Last Name:APPLING
Suffix:
Gender:F
Credentials:MA, LMFT, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14715 NE BEL RED RD STE 102
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3940
Mailing Address - Country:US
Mailing Address - Phone:206-491-8818
Mailing Address - Fax:425-747-4380
Practice Address - Street 1:14715 NE BEL RED RD STE 102
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3940
Practice Address - Country:US
Practice Address - Phone:206-491-8818
Practice Address - Fax:425-747-4380
Is Sole Proprietor?:No
Enumeration Date:2011-01-27
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60348877101YA0400X
WALF60194307106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)