Alas, Jackie L

Alas, Jackie L is an individual health care provider with primary practice located at 900 7Th St , Clarkston WA 99403-2005. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Alas, Jackie L can be contacted via phone (509) 758-3341.

Contact Information

Primary practice address
900 7Th St Clarkston WA 99403-2005
Fax: (509) 769-6057
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LW00009404 Washington

Profile Details

NPI number 1538339049
LBN Legal business name Alas, Jackie L
Credentials MSW
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 11th, 2008
Last updated Mar 11th, 2008 - about 16 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1538339049 NPPES
Washington Other LW00009404 STATE LICENSE

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