Individual provider · Type 1 NPI

Jodi Marie Youngquist, LMHCA

Mental Health Counselor · Puyallup, WA

NPI number 1104486158 Active

Practice location

11102 Sunrise Blvd E Ste 100
Puyallup, WA 98374-8846

Call (253) 205-5807 Map

Mailing address

1911 19th St SE
Puyallup, WA 98372-7123

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X60881855 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1104486158

Jodi Marie Youngquist, LMHCA's National Provider Identifier is 1104486158, issued on Jun 20, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Puyallup, WA. The record was last updated on Jun 20, 2019.