MEDICARE: JUTURNA, PLLC

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	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1669248035
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JUTURNA, PLLC

Provider Business Mailing Address
First Line	:	1532 NE 106TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-6514
Country	:	US
Telephone Number	:	206-965-0106
Fax Number	:

Provider Business Practice Location Address
First Line	:	1532 NE 106TH ST
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98125-6514
Country	:	US
Telephone Number	:	206-965-0106
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	KATHRYN M MILLER SEDGWICK
Credential	:
Telephone Number	:	206-965-0106

Provider Enumeration Date	:	11/28/2023
Last Update Date	:	06/02/2026

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