Healthcare Provider Details

I. General information

NPI: 1326405960
Provider Name (Legal Business Name): JENNIFER SKYPE BRAZER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: JENNIFER SKYPE HUNT

II. Dates (important events)

Enumeration Date: 01/27/2016
Last Update Date: 08/17/2026
Certification Date: 08/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9040 JACKSON AVE
TACOMA WA
98431-0001
US

IV. Provider business mailing address

9040 JACKSON AVE
TACOMA WA
98431-0001
US

V. Phone/Fax

Practice location:
  • Phone: 253-968-3885
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberSWI.LW.70073553
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP.CP.60549140
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: