Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jerry Fungwa Shu

Individual provider Mental Health Counselor · NPI 1275414476

Jerry Fungwa Shu is a Mental Health Counselor in University Place, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

2901 Bridgeport Way W
University Place, WA 98466-4614
Phone: (253) 534-7000
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence LP61248864 (WA)

Record details

NPI number1275414476
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedSeptember 12, 2025
Last updated in NPPESOctober 24, 2025
Certification dateSeptember 12, 2025

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