Jacobsen, Karen Deane

Jacobsen, Karen Deane is an sole proprietor health care provider with primary practice located at 1003 Koala Ave , Omak WA 98841-9247. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Counselor. Behavioral Health & Social Service Providers / Counselor is her primary health care specialty. Jacobsen, Karen Deane can be contacted via phone (509) 422-5700.

Contact Information

Primary practice address
1003 Koala Ave Omak WA 98841-9247
Phone: (509) 422-5700
Fax: (509) 422-7680
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH00007846 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X LH00007846 Washington

Profile Details

NPI number 1053527390
LBN Legal business name Jacobsen, Karen Deane
Credentials LICENSED COUNSELOR
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2007
Last updated May 14th, 2020 - about 4 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 1053527390 NPPES
Washington Other LH00007846 STATE LICENSE
Washington Other 1053527390 STATE LICENSE
Washington MEDICAID 2038885 STATE LICENSE

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