Healthcare Provider Details

I. General information

NPI: 1982994505
Provider Name (Legal Business Name): JENNIFER WINTER BERNERT LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/15/2011
Last Update Date: 05/22/2023
Certification Date: 05/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 N HOWARD ST STE 4209
SPOKANE WA
99201-0508
US

IV. Provider business mailing address

7355 PRINCETON AVE
LA MESA CA
91942-8717
US

V. Phone/Fax

Practice location:
  • Phone: 206-816-2339
  • Fax:
Mailing address:
  • Phone: 206-816-2339
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60169801
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: