Individual provider · Type 1 NPI

Jeremy Kutzke

Mental Health Counselor · Tukwila, WA

NPI number 1114391349 Active

Practice location

6400 Southcenter Blvd
Tukwila, WA 98188-2547

Call (206) 444-7800 Map

Mailing address

11526 30th Ave NE
Seattle, WA 98125-6861

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XCG60574492 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1114391349

Jeremy Kutzke's National Provider Identifier is 1114391349, issued on Nov 27, 2015. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Tukwila, WA. The record was last updated on Jan 23, 2017.