Provider Demographics
NPI:1023446713
Name:BAFUS, JEFF (LMFTA)
Entity type:Individual
Prefix:MR
First Name:JEFF
Middle Name:
Last Name:BAFUS
Suffix:
Gender:M
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1515 NW 52ND ST
Mailing Address - Street 2:APT 406
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3858
Mailing Address - Country:US
Mailing Address - Phone:509-590-9645
Mailing Address - Fax:
Practice Address - Street 1:5624 7TH AVE NW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-2729
Practice Address - Country:US
Practice Address - Phone:206-384-4142
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-10-16
Last Update Date:2013-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst