JENNIFER TARDIF (NPI# 1841661303) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1841661303 |
Entity Type | Individual |
Full Name | JENNIFER TARDIF |
Practice Address |
12115 State Ave F321 Marysville WA 98271-8585 |
Practice Telephone | 4253661790 |
Mailing Telephone | 4253661790 |
Enumeration Date | 2015-10-09 |
Last Update Date | 2015-10-09 |
Gender Code | F |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
60580266 | WA | Behavioral Health & Social Service Providers |
Street Address |
12115 STATE AVE F321 |
City | MARYSVILLE |
State | WA |
Zip Code | 98271-8585 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1174155345 | Kaiser Foundation Health Plan of Washington | Pharmacy | 2335 172nd Street Ne, Marysville, WA 98271 | 2020-02-06 |
1124511126 | Roger Lucas, P.s. | Dentist | 3806 116th St. Ne, Marysville, WA 98271 | 2018-06-13 |
1679020150 | Vest Seattle, LLC | Psychiatric Hospital | 3955 156th St, Marysville, WA 98271 | 2016-09-01 |
1790141828 | Washington Dental Corporation, PC | Dentist | 17103 28th Dr. Ne, Suite 104, Marysville, WA 98271 | 2016-01-05 |
1376932533 | Mindy Wiese | Counselor | 2321 Marine Dr. Ne, Marysville, WA 98271 | 2015-01-12 |
1609276260 | Sara Julsrud | Counselor | 2828 Mission Hill Road, Tulalip, WA 98271 | 2014-09-01 |
1710395355 | Sandra Breaux | Pharmacist | 8924 Quil Ceda Blvd, Tulalip, WA 98271 | 2014-07-28 |
1245665207 | Delores Helen Dusterhoft | Registered Nurse | 4421 122nd Pl Ne, Marysville, WA 98271 | 2013-09-10 |
1295079390 | Santi Wibawantini | Marriage & Family Therapist | 2321 Marine Dr Ne, Tulalip, WA 98271 | 2012-11-15 |
1558690586 | Stephen Lee | Pharmacist | 8825 34th Avenue Ne, Suite A, Tulalip, WA 98271 | 2009-12-22 |
Find all providers in zip 98271 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1316500234 | Katy Velasco | Counselor | 2 9th St, Marysville, CA 95901-5362 | 2019-04-16 |
1467947234 | Dulce Ruiz-guzman | Counselor | 6136 Griffith Ave, Marysville, CA 95901-9778 | 2018-06-25 |
1457874729 | Rena Raju | Counselor | 1496 N. Beale Rd, Marysville, CA 95901 | 2017-07-19 |
1861946535 | Michele Hope Miley-scott | Counselor | 18200 St Rt 4r, Marysville, OH 43040 | 2016-08-10 |
1326411869 | New Life Addiction and Recovery Services Pllc | Counselor | 5019 Grove St # 103a, Marysville, WA 98270-4487 | 2015-11-05 |
1972852374 | Suzanne Leboeuf | Counselor | 1227 2nd St., Marysville, WA 98270 | 2012-08-31 |
1740536457 | Diane Melanie Buford | Counselor | 514 State Ave Ste 107, Marysville, WA 98270-4556 | 2012-07-31 |
1629233655 | Elizabeth E. Staas | Counselor | 131 N. Main St., Marysville, OH 43040 | 2008-07-18 |
1619156999 | Stephen Paul Harris | Counselor | 5730 60th Dr Ne, Marysville, WA 98270-9522 | 2007-11-02 |
1831316165 | William T Ritchey | Counselor | 406 N 3rd St, Marysville, KS 66508-1496 | 2007-04-19 |
Find all providers in MARYSVILLE |
City | MARYSVILLE |
Zip Code | 98271 |
Please comment or provide details below to improve the information on JENNIFER TARDIF.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.