| Doctor Name: | JENNIFER STUART |
| NPI Number: | 1063453314 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | BA |
| License Number: | RC00050660 |
| Business Practice Address: | 701 N Miller St Wenatchee, WA - 988012086 |
| Business Phone Number: | 5097874466 |
| Business Fax Number: | 5097871031 |
| Mailing Address: | 309 Canyon Pl, WENATCHEE |
| State: | WA |
| Postal Code: | 988012474 |
| Phone Number: | 5097410871 |
| Fax Number: | 5098880393 |
| NPI Enumeration Date: | 06/09/2006 |
| NPI Last Update Date: | 05/19/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | RC00050660 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |