Provider Demographics
NPI:1770751448
Name:TONE, JENNIFER J (MHP)
Entity type:Individual
Prefix:MS
First Name:JENNIFER
Middle Name:J
Last Name:TONE
Suffix:
Gender:F
Credentials:MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1101 S 2ND ST # B
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-4208
Mailing Address - Country:US
Mailing Address - Phone:360-336-3149
Mailing Address - Fax:360-336-3815
Practice Address - Street 1:1101 S 2ND ST # B
Practice Address - Street 2:
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-4208
Practice Address - Country:US
Practice Address - Phone:360-336-3149
Practice Address - Fax:360-336-3815
Is Sole Proprietor?:No
Enumeration Date:2008-02-15
Last Update Date:2008-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health