Jutte, Jennifer Stevenson

Jutte, Jennifer Stevenson is an sole proprietor health care provider with primary practice located at 10016 Edmonds Way Ste C121 , Edmonds WA 98020-5107. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Rehabilitation. Behavioral Health & Social Service Providers / Rehabilitation is her primary health care specialty. Jutte, Jennifer Stevenson can be contacted via phone (206) 445-2664.

Contact Information

Primary practice address
10016 Edmonds Way Ste C121 Edmonds WA 98020-5107
Phone: (206) 445-2664
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY60137402 Washington
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X PY60137402 Washington

Profile Details

NPI number 1689980302
LBN Legal business name Jutte, Jennifer Stevenson
Credentials MPH, PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2010
Last updated May 18th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689980302 NPPES
Washington Other 317623 L&I PIN
Washington MEDICAID 1689980302 L&I PIN

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