Provider Demographics
NPI:1801656780
Name:WEANDMETHERAPY
Entity type:Organization
Organization Name:WEANDMETHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:DUTY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:206-649-8411
Mailing Address - Street 1:2317 CALIFORNIA AVE SW APT 405
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-2478
Mailing Address - Country:US
Mailing Address - Phone:206-649-8411
Mailing Address - Fax:
Practice Address - Street 1:2317 CALIFORNIA AVE SW APT 405
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-2478
Practice Address - Country:US
Practice Address - Phone:206-649-8411
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-03-19
Last Update Date:2024-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty