person
Mr. William W Jaeckel, MA,LMHCA
Mental Health Counselor in Kent, Washington
NPI 1538450309

William W Jaeckel is a Mental Health Counselor based in Kent, WA and is specialized in Mental Health. William W Jaeckel practices in Kent, WA and has the professional credentials of MA,LMHCA. The NPI Number for William W Jaeckel is 1538450309 and holds a License No. MC60197685 (Washington).

The current practice location address for William W Jaeckel is 403 E Meeker St, Kent, WA and can be reached out via phone at 253-852-4504 and via fax at 253-852-3665.

Location: 403 E Meeker St, Kent, WA, 98030-5904
person
Provider Profile Details
NPI Number
1538450309
Provider Name
William W Jaeckel
Credential
MA,LMHCA
Provider Entity Type
Individual
Gender
Male
Address
403 E Meeker St, Kent, WA, 98030-5904
Phone Number
253-852-4504
Fax Number
253-852-3665
Provider Enumeration Date
04/27/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
MC60197685 01 WA WA STATE DEPT OF HEALTH
institution
Provider Business Practice Location Address Details
Address
403 E Meeker St
City
State
Zip
98030-5904
Phone Number
253-852-4504
Fax Number
253-852-3665
person
Provider Business Mailing Address Details
Address
403 E Meeker St
City
State
Zip
98030-5904
Phone Number
253-852-4504
Fax Number
253-852-3665
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
MC60197685 (Washington)
Definition
Definition to come...
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