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Dr. Kevin Wayne St Jacques, PSYD,LMHC
Counselor in Bothell, Washington
NPI 1538226444

Kevin Wayne St Jacques is a Counselor based in Bothell, WA. Kevin Wayne St Jacques practices in Bothell, WA and has the professional credentials of PSYD,LMHC. The NPI Number for Kevin Wayne St Jacques is 1538226444 and holds a License No. LH60116269 (Washington).

The current practice location address for Kevin Wayne St Jacques is 17508 20Th Dr Se, Bothell, WA and can be reached out via phone at 206-495-8562. You can also correspond with Kevin Wayne St Jacques through the mailing address at 17508 20TH DR SE, BOTHELL, WA - 98012-6406 (mailing address contact number: 206-495-8562).

Location: 17508 20Th Dr Se, Bothell, WA, 98012-6406
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1538226444
Provider Name
Kevin Wayne St Jacques
Credential
PSYD,LMHC
Provider Entity Type
Individual
Gender
Male
Address
17508 20Th Dr Se, Bothell, WA, 98012-6406
Phone Number
206-495-8562
Fax Number
Provider Enumeration Date
01/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
17508 20Th Dr Se
City
Bothell
State
Washington
Zip
98012-6406
Phone Number
206-495-8562
Fax Number
person
Provider Business Mailing Address Details
Address
17508 20Th Dr Se
City
Bothell
State
Washington
Zip
98012-6406
Phone Number
206-495-8562
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LH60116269 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
LH60116269 (Washington)
Definition
Definition to come...
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