MEDICARE: JENNY LILITH BARTH

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		WA

General Provider Information

NPI Number	:	1992241806
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JENNY LILITH BARTH

Provider Business Mailing Address
First Line	:	711 N 35TH ST APT 206
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3420
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	711 N 35TH ST APT 206
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98103-3420
Country	:	US
Telephone Number	:	206-923-8894
Fax Number	:

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

Provider Enumeration Date	:	01/17/2017
Last Update Date	:	01/29/2025

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Directions to “ JENNY LILITH BARTH ” Practice Location

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