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NPI Code Detail

MEDICARE: JENNIFER RUTH TREFONAS LMHC

MEDICARE: JENNIFER RUTH TREFONAS LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH00006947WA

General Provider Information

NPI Number : 1942270459
Entity Type Code : Individual
Provider Name (Legal Business Name) : JENNIFER RUTH TREFONAS LMHC
Provider Business Mailing Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number : 360-457-0493
Provider Business Practice Location Address
First Line : 118 E 8TH ST
Second Line :
City : PORT ANGELES
State : WA
Zip : 98362-6129
Country : US
Telephone Number : 360-457-0431
Fax Number : 360-457-0493
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/25/2006
Last Update Date : 08/26/2014

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Directions to “ JENNIFER RUTH TREFONAS LMHC” Practice Location

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