Provider Demographics
NPI:1184951444
Name:PATTERSON, JENNIFER A (MA, LMFT)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:A
Last Name:PATTERSON
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:818 S ORCAS ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-2628
Mailing Address - Country:US
Mailing Address - Phone:206-617-9212
Mailing Address - Fax:206-763-0285
Practice Address - Street 1:818 S ORCAS ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-2628
Practice Address - Country:US
Practice Address - Phone:206-617-9212
Practice Address - Fax:206-763-0285
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-06
Last Update Date:2009-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60099926106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist