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Jackilyn Imper, MSW
Mental Health Counselor in Longview, Washington
NPI 1811485311

Jackilyn Imper is a Mental Health Counselor based in Kelso, WA and is specialized in Mental Health. Jackilyn Imper practices in Longview, WA and has the professional credentials of MSW. The NPI Number for Jackilyn Imper is 1811485311 and holds a License No. (Washington).

The current practice location address for Jackilyn Imper is 945 11Th Ave, Longview, WA and can be reached out via phone at 503-720-4706. You can also correspond with Jackilyn Imper through the mailing address at 107 CIMARRON DR, KELSO, WA - 98626-1956 (mailing address contact number: 503-720-4706).

Location: 945 11Th Ave, Longview, WA, 98626-1956
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1811485311
Provider Name
Jackilyn Imper
Credential
MSW
Provider Entity Type
Individual
Gender
Female
Address
945 11Th Ave, Longview, WA, 98626-1956
Phone Number
503-720-4706
Fax Number
Provider Enumeration Date
04/30/2018
Last Update Date
04/13/2024
institution
Provider Business Practice Location Address Details
Address
945 11Th Ave
City
Longview
State
Washington
Zip
98632-2555
Phone Number
503-720-4706
Fax Number
person
Provider Business Mailing Address Details
Address
945 11Th Ave
City
Longview
State
Washington
Zip
98632-2555
Phone Number
503-720-4706
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LW61481125 (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.
()
Definition
Definition to come...
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