Washbish, Jackie Elaine

Washbish, Jackie Elaine is an individual health care provider with primary practice located at 904 S 3Rd St , Mount Vernon WA 98273-4324. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) is her primary health care specialty. Washbish, Jackie Elaine can be contacted via phone (360) 856-6300.

Contact Information

Primary practice address
904 S 3Rd St Mount Vernon WA 98273-4324
Phone: (360) 856-6300
Fax: (564) 209-7048
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Peer Specialist 175T00000X Washington
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X CP60708363 Washington

Profile Details

NPI number 1376986174
LBN Legal business name Washbish, Jackie Elaine
Credentials SUDP
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 10th, 2013
Last updated Feb 20th, 2024 - about last year

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 1376986174 NPPES
Washington MEDICAID 2265964

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