Kim, Jake T
Kim, Jake T is an sole proprietor health care provider with primary practice located at 7320 216Th St Sw Suite 200, Edmonds WA 98026-8006. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Kim, Jake T can be contacted via phone (425) 640-4900.Contact Information
Primary practice address
7320 216Th St Sw Suite 200
Edmonds WA 98026-8006
Phone: (425) 640-4900
Fax: (425) 640-4919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 081733 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW60218364 | Washington |
Profile Details
| NPI number | 1154636603 |
|---|---|
| LBN Legal business name | Kim, Jake T |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 9th, 2010 |
| Last updated | Jul 10th, 2015 - about 10 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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