JENNIFER DEBORA HUDSON MA, LMHC, CMHS NPI 1003007691

Counselor (Mental Health) in Lake Stevens, WA

About JENNIFER HUDSON

Jennifer Hudson is a provider in Lake Stevens, WA. The NPI number assigned to this provider is 1003007691. The practitioner's primary taxonomy code is Counselor (101YM0800X). The provider is registered as an individual and their NPI record was last updated 4 years ago.

NPI1003007691 Additional informationCallout TooltipNational Provider Indentifier (NPI)
The 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.
Provider Name JENNIFER DEBORA HUDSON MA, LMHC, CMHS
Provider Location Address1906 82ND AVE NE LAKE STEVENS, WA 98258 Additional informationCallout TooltipProvider location address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
Provider Mailing Address1906 82ND AVE NE LAKE STEVENS, WA 98258 Additional informationCallout TooltipProvider mailing address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.
GenderFemale
NPI Entity TypeIndividual Additional informationCallout TooltipEntity type code
The code describing the type of health care provider that is being assigned an NPI.
Codes are:
1 = (Person): individual human being who furnishes health care;
2 = (Non-person): entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO).
Is Sole Proprietor?Yes
Is Organization Subpart?N/A Additional informationCallout TooltipWhat is a subpart?
Subparts are the components and separate physical locations of organization health care providers. Examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.
Enumeration Date08-07-2007 Additional informationCallout TooltipProvider enumeration date
The date the provider was assigned a unique identifier (assigned an NPI)
Last Update Date10-25-2013 Additional informationCallout TooltipLast update date
The date that a record was last updated or changed.

Business Address

JENNIFER DEBORA HUDSON MA, LMHC, CMHS
1906 82ND AVE NE
LAKE STEVENS, WA
ZIP 98258
Phone: (425) 397-6284
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Mailing Address

JENNIFER DEBORA HUDSON MA, LMHC, CMHS
1906 82ND AVE NE
LAKE STEVENS, WA
ZIP 98258
Phone: (425) 210-3328

Primary Taxonomy

Taxonomy Code101YM0800X Additional informationCallout TooltipPrimary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
ClassificationCounselor
TypeBehavioral Health & Social Service Providers
SpecializationMental Health
License No.LH60172378
License StateWA

Map Location


JENNIFER DEBORA HUDSON MA, LMHC, CMHS address is 1906 82ND AVE NE LAKE STEVENS, WA 98258