JENNIFER BROOKE SJOSTROM NPI 1730534272

NPI Information

NPI: 1730534272
Provider Name: JENNIFER BROOKE SJOSTROM
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
4407 N DIVISION ST STE 603
SPOKANE, WA
ZIP 99207
Phone: (208) 467-4931
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JENNIFER BROOKE SJOSTROM is a mental health counselor in Spokane, WA. JENNIFER BROOKE SJOSTROM NPI is 1730534272. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4407 N DIVISION ST STE 603
SPOKANE, WA
ZIP 99207-660
Phone: (208) 467-4931

The provider's authorized official is Jennifer Brooke Sjostrom .
The authorized official title is Psychotherapist and has the following contact phone number (208) 691-1174.

The enumeration date for this NPI number is 5/3/2016 and was last updated on 5/3/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LCPC-4347	IDAHO	No
2	101YM0800X	Counselor	Mental Health	LH00007832	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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