| Doctor Name: | JEFFREY ZHEUTLIN |
| NPI Number: | 1336447374 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.A., L.M.H.C. |
| License Number: | LH00006754 |
| Business Practice Address: | 18625 Ridge Rd Sw Vashon, WA - 980705413 |
| Business Phone Number: | 2064632189 |
| Business Fax Number: | |
| Mailing Address: | 18625 Ridge Rd Sw, VASHON |
| State: | WA |
| Postal Code: | 980705413 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/28/2011 |
| NPI Last Update Date: | 02/28/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | LH00006754 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |