Smith, Jackie M

Smith, Jackie M is an sole proprietor health care provider with primary practice located at 6512 20Th Street Ct W Ste B2 , Fircrest WA 98466-6212. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Smith, Jackie M can be contacted via phone (253) 468-7899.

Contact Information

Primary practice address
6512 20Th Street Ct W Ste B2 Fircrest WA 98466-6212
Phone: (253) 468-7899
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X RC00055212 Washington
Behavioral Health & Social Service Providers / Clinical 1041C0700X 60336105 Washington

Profile Details

NPI number 1053595660
LBN Legal business name Smith, Jackie M
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 19th, 2007
Last updated Jul 21st, 2022 - about 3 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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