Provider Demographics
NPI:1649568163
Name:JANSEN, TRUUS HELENA (MA LMFT)
Entity type:Individual
Prefix:MS
First Name:TRUUS
Middle Name:HELENA
Last Name:JANSEN
Suffix:
Gender:F
Credentials:MA LMFT
Other - Prefix:
Other - First Name:TRUDY
Other - Middle Name:HELENA
Other - Last Name:JANSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7001 HOLLY PARK DR S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-3525
Mailing Address - Country:US
Mailing Address - Phone:206-818-7188
Mailing Address - Fax:206-402-5441
Practice Address - Street 1:7001 HOLLY PARK DR S
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-3525
Practice Address - Country:US
Practice Address - Phone:206-818-7188
Practice Address - Fax:206-402-5441
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-18
Last Update Date:2011-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC1369101YP2500X
WALF00002609106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional