Dick, Jacquelyn E

Dick, Jacquelyn E is an sole proprietor health care provider with primary practice located at 790 E Johns Prairie Rd. , Shelton WA 98584. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Dick, Jacquelyn E can be contacted via phone (360) 432-3521.

Contact Information

Primary practice address
790 E Johns Prairie Rd. Shelton WA 98584
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LH00009899 Washington

Profile Details

NPI number 1699988188
LBN Legal business name Dick, Jacquelyn E
Credentials MA PSYCH
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 8th, 2007
Last updated Apr 14th, 2017 - about 8 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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