MS. JENNIFER SUE MELLUM
NPI 1710415773
Counselor in Tacoma, WA

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

Active since June 02, 2017

1305 TACOMA AVE S STE 305, TACOMA, WA 98402(253) 396-5800 Get Directions Write a Review

NPPES record last updated: June 2, 2017. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Ms. Jennifer Sue Mellum NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JENNIFER SUE MELLUM (NPI 1710415773) is an individual counselor in Tacoma, Washington, licensed in Washington (CG60730961) and active in the NPI registry since June 2017.

NPPES Registry Identity

NPI1710415773

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMS. JENNIFER SUE MELLUM

Location Address1305 TACOMA AVE S STE 305Tacoma, WA 98402-1903

Mailing Address1201 S Proctor StTacoma, WA 98405-2047 · (253) 396-5800

Phone(253) 396-5800

Sole ProprietorNo

Enumeration DateJune 2, 2017

✔ NPI 1710415773 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · CG60730961

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

1305 TACOMA AVE S STE 305, Tacoma, WA 98402

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