Provider Demographics
NPI:1770951634
Name:JENKINS, JULIA ERIN (LMHCA)
Entity type:Individual
Prefix:
First Name:JULIA
Middle Name:ERIN
Last Name:JENKINS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1160 140TH AVE NE
Mailing Address - Street 2:SUITE E
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2978
Mailing Address - Country:US
Mailing Address - Phone:425-454-0616
Mailing Address - Fax:
Practice Address - Street 1:1160 140TH AVE NE
Practice Address - Street 2:SUITE E
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005-2978
Practice Address - Country:US
Practice Address - Phone:425-454-0616
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-09-09
Last Update Date:2015-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor