Jacquelyn E Dick is a Counselor in Shelton, Washington. Jacquelyn E Dick practices all healthcare services and medical treatments related to Counselor. The NPI Number for Jacquelyn E Dick is 1699988188. The last update date is 2017-04-14.
Jacquelyn E Dick's current location address is 790 E Johns Prairie Rd, Shelton, Washington. You can contact this provider via phone number 3604323521. The mailing address for Jacquelyn E Dick is 790 E Johns Prairie Rd, Shelton, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jacquelyn E Dick |
|---|---|
| Address | 790 E Johns Prairie Rd, Shelton, Washington |
| Phone Number | 3604323521 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MA PSYCH |
NPI Number Detail
| NPI Number | 1699988188 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2017-04-14 |
Provider Mailing Address Detail
| Address | 790 E Johns Prairie Rd |
|---|---|
| City | Shelton |
| State | Washington (WA) |
| Post Code | 985841265 |
| Phone Number | 3604323521 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Counselor |
|---|---|
| Taxonomy | 101Y00000X |
| Licence No | LH00009899 |
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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 supe |
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What is the unique 10-digit identification code assigned to Jacquelyn E Dick by the Centers for Medicare & Medicaid Services?
The Jacquelyn E Dick has been issued the NPI (National Provider Identifier) 1699988188, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Jacquelyn E Dick is located?
The Jacquelyn E Dick is situated at the following address: 790 E Johns Prairie Rd, Shelton, WA, 985841265.
What is Jacquelyn E Dick's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jacquelyn E Dick is Counselor, and the taxonomy code that classifies this field of practice is 101Y00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1699988188 to Jacquelyn E Dick?
The Centers for Medicare & Medicaid Services assigned the 1699988188 to Jacquelyn E Dick on 2007-05-08.
As of what date were the Jacquelyn E Dick's details last updated?
The information pertaining to the Jacquelyn E Dick, including its address, specialty, and other details, was most recently updated on 2017-04-14.
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