MEDICARE: MR. JEFFREY L JARRETT LMFT

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
1	106H00000X	Marriage & Family Therapist	60863856	WA

General Provider Information

NPI Number	:	1265740849
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JEFFREY L JARRETT LMFT

Provider Business Mailing Address
First Line	:	1402 S GRAND BLVD STE 201
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-5001
Country	:	US
Telephone Number	:	805-450-8909
Fax Number	:

Provider Business Practice Location Address
First Line	:	1402 S GRAND BLVD STE 201
Second Line	:
City	:	SPOKANE
State	:	WA
Zip	:	99203-5001
Country	:	US
Telephone Number	:	805-450-8909
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/17/2010
Last Update Date	:	03/18/2019

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