Thebaut, Jill Cathleen

Thebaut, Jill Cathleen is an individual health care provider with primary practice located at 14216 Ne 21St St North Creek, Bellevue WA 98007-3720. She recently has 3 registered licenses in different health care specialties including Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Thebaut, Jill Cathleen can be contacted via phone (425) 653-4900.

Contact Information

Primary practice address
14216 Ne 21St St North Creek Bellevue WA 98007-3720
Phone: (425) 653-4900
Fax: (425) 653-4910
Website:
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Health care specialties

SpecialtyCodeLicense #State
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X CO60201858 Washington
Behavioral Health & Social Service Providers / Counselor 101Y00000X CG60141977 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X CG60141977 Washington

Profile Details

NPI number 1558400838
LBN Legal business name Thebaut, Jill Cathleen
Credentials BA, AAC
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 5th, 2007
Last updated May 2nd, 2013 - about 11 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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