Healthcare Provider Details

I. General information

NPI: 1669248035
Provider Name (Legal Business Name): JUTURNA, PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/28/2023
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1532 NE 106TH ST
SEATTLE WA
98125-6514
US

IV. Provider business mailing address

1532 NE 106TH ST
SEATTLE WA
98125-6514
US

V. Phone/Fax

Practice location:
  • Phone: 206-965-0106
  • Fax:
Mailing address:
  • Phone: 206-965-0106
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KATHRYN M MILLER SEDGWICK
Title or Position: OWNER
Credential:
Phone: 206-965-0106