JODI MARIE YOUNGQUIST


Address: 11102 Sunrise Blvd E Ste 100, Puyallup, WA 98374-8846
Phone: 2532055807

JODI MARIE YOUNGQUIST (NPI# 1104486158) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1104486158
Entity Type Individual
Full Name JODI MARIE YOUNGQUIST
Credential LMHCA
Practice Address 11102 Sunrise Blvd E Ste 100
Puyallup
WA 98374-8846
Mailing Address 1911 19th St Se
Puyallup
WA 98372-7123
Practice Telephone 2532055807
Mailing Telephone 2532055807
Enumeration Date 2019-06-20
Last Update Date 2019-06-20
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
60881855 WA Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
WA WASHINGTON STATE DEPARTMENT OF HEALTH 60881855 01

Office Location

Street Address 11102 SUNRISE BLVD E STE 100
City PUYALLUP
State WA
Zip Code 98374-8846

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1073173977 Courtney Yant Registered Nurse 300 3rd St Se, Puyallup, WA 98374 2019-06-13
1013480508 Tracy Pina Massage Therapist 16909 123rd Ave E, Puyallup, WA 98374 2019-01-07
1922524917 Edith M Wood Registered Nurse 13517 152nd St Ct E, Puyallup, WA 98374 2017-08-21
1669875993 Jillian C S Longway Registered Nurse 11102 Sunrise Blvd E Ste 103, Puyallup, WA 98374 2014-10-01
1427302025 Nadeem Jaffer Internal Medicine 3800 3rd St. Se, Puyallup, WA 98374 2012-11-04
1851605356 Madigan Army Medical Ctr Clinic/Center 15600 Meridan Ave, Sunrise Village Center, East Puyallup, WA 98374 2010-07-27
1326368135 Matt Karl Jahns Massage Therapist 2402 20th St Se, Puyallup, WA 98374 2010-06-03
1982833208 Roxy Sturgeon Speech-Language Pathologist 2309 43rd Ave Se, Puyallup, WA 98374 2009-07-08
1497921191 Morgan Counseling Services Inc. Substance Abuse Rehabilitation Facility 10312 120th Street East, Suite #3, Puyallup, WA 98374 2008-05-02
1700055795 Walter Royal Patterson Jr. Registered Nurse 11102 Sunrise Blvd. E., Ste. 103, Woodcreek Healthcare, Puyallup, WA 98374 2008-02-25
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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1437784584 Steven William Wagner Counselor 12909 106th Avenue Ct E, Puyallup, WA 98374-3048 2020-03-10
1073147484 Jackie Kerns St. Louis Counselor 8506 137th Street Ct E, Puyallup, WA 98373-6415 2020-02-24
1629615760 Jessie Jean Waiamau-ariota Counselor Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 2019-12-09
1649839739 Aathina Dillard Counselor 102 23rd Ave Se Unit 102a, Puyallup, WA 98372-4501 2019-06-11
1124599972 Orenda Counseling, LLC Counselor 104 W. Meeker #f, Puyallup, WA 98371-8901 2018-12-05
1558877696 Picket Fene Therapy & Consulting, LLC Counselor 105b W Main Ste 105, Puyallup, WA 98371-5329 2017-12-27
1831603851 Minza Cheyo Kuyenga Counselor 14020 176th St E, Puyallup, WA 98374-9294 2017-11-29
1245759109 Jaclyn Watson Counselor 417 E Pioneer Ste B, Puyallup, WA 98372-3267 2017-09-12
1609321603 Kristina Nicole Durene Counselor 1420 S Meridian Ste C, Puyallup, WA 98371-6914 2016-08-19
1801248364 Sara Lee Kern Counselor 2119 10th Avenue Ct Se, Puyallup, WA 98372-4058 2016-07-08
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Competitor

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City PUYALLUP
Zip Code 98374

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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