Individual provider · Type 1 NPI

Jerry Fungwa Shu

Mental Health Counselor · University Place, WA

NPI number 1275414476 Active

Practice location

2901 Bridgeport Way W
University Place, WA 98466-4614

Call (253) 534-7000 Map

Mailing address

18230 70th Avenue Ct E
Puyallup, WA 98375-1835

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLP61248864 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1275414476

Jerry Fungwa Shu's National Provider Identifier is 1275414476, issued on Sep 12, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in University Place, WA. The record was last updated on Oct 24, 2025.