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Ms. Jean Gant Delastrada, MED,MA
Mental Health Counselor in Olympia, Washington
NPI 1952573974

Jean Gant Delastrada is a Mental Health Counselor based in Olympia, WA and is specialized in Mental Health. Jean Gant Delastrada practices in Olympia, WA and has the professional credentials of MED,MA. The NPI Number for Jean Gant Delastrada is 1952573974 and holds a License No. RC00025709 (Washington).

The current practice location address for Jean Gant Delastrada is 1516 Decatur St Sw, Olympia, WA and can be reached out via phone at 206-501-9404.

Location: 1516 Decatur St Sw, Olympia, WA, 98507-2827
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Provider Profile Details
NPI Number
1952573974
Provider Name
Jean Gant Delastrada
Credential
MED,MA
Provider Entity Type
Individual
Gender
Female
Address
1516 Decatur St Sw, Olympia, WA, 98507-2827
Phone Number
206-501-9404
Fax Number
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
RC00025709 01 WA REGISTERED COUNSELOR
institution
Provider Business Practice Location Address Details
Address
1516 Decatur St Sw
City
State
Zip
98502-5848
Phone Number
206-501-9404
Fax Number
person
Provider Business Mailing Address Details
Address
1516 Decatur St Sw
City
State
Zip
98502-5848
Phone Number
206-501-9404
Fax Number
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Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
RC00025709 (Washington)
Definition
Definition to come...
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