Paulk, Jill M

Paulk, Jill M is an sole proprietor health care provider with primary practice located at 884 West Park Avenue , Port Townsend WA 98368. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Paulk, Jill M can be contacted via phone (360) 385-0321.

Contact Information

Primary practice address
884 West Park Avenue Port Townsend WA 98368
Phone: (360) 385-0321
Fax: (360) 379-5534
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 44SC01167500 New Jersey
Behavioral Health & Social Service Providers / Clinical 1041C0700X PR017066 New York
Behavioral Health & Social Service Providers / Clinical 1041C0700X LW00009448 Washington

Profile Details

NPI number 1003977463
LBN Legal business name Paulk, Jill M
Credentials LICSW
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 12th, 2006
Last updated Jul 12th, 2010 - about 14 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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