Provider Demographics
NPI:1457400566
Name:KAPELOS, JENNIFER LYNN (MS, DHA, LMHCA)
Entity Type:Individual
Prefix:MRS
First Name:JENNIFER
Middle Name:LYNN
Last Name:KAPELOS
Suffix:
Gender:F
Credentials:MS, DHA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10915 EUSTIS HUNT RD E
Mailing Address - Street 2:
Mailing Address - City:GRAHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98338-8857
Mailing Address - Country:US
Mailing Address - Phone:206-712-8382
Mailing Address - Fax:
Practice Address - Street 1:10915 EUSTIS HUNT RD E
Practice Address - Street 2:
Practice Address - City:GRAHAM
Practice Address - State:WA
Practice Address - Zip Code:98338-8857
Practice Address - Country:US
Practice Address - Phone:206-712-8382
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2024-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60932693101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health