Provider Demographics
NPI:1144853219
Name:JANN FINLEY LMHC CCHT INC
Entity type:Organization
Organization Name:JANN FINLEY LMHC CCHT INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JANN
Authorized Official - Middle Name:
Authorized Official - Last Name:FINLEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC CCHT INC
Authorized Official - Phone:425-346-1244
Mailing Address - Street 1:2106 110TH DR SE
Mailing Address - Street 2:
Mailing Address - City:LAKE STEVENS
Mailing Address - State:WA
Mailing Address - Zip Code:98258-5125
Mailing Address - Country:US
Mailing Address - Phone:425-346-1244
Mailing Address - Fax:425-609-1282
Practice Address - Street 1:2804 GRAND AVE STE 303B
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-3586
Practice Address - Country:US
Practice Address - Phone:425-346-1244
Practice Address - Fax:425-609-1282
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-18
Last Update Date:2020-02-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA2047489Medicaid