Kevin Wayne St Jacques in Bothell - Mental Health
Kevin Wayne St Jacques - NPI 1538226444
Kevin Wayne St Jacques is a Mental Health in Bothell, Washington. Kevin Wayne St Jacques practices all healthcare services and medical treatments related to Mental Health. The NPI Number for Kevin Wayne St Jacques is 1538226444. The last update date is 2014-03-07.
Kevin Wayne St Jacques's current location address is 17508 20th Dr Se, Bothell, Washington. You can contact this provider via phone number 2064958562. The mailing address for Kevin Wayne St Jacques is 17508 20th Dr Se, Bothell, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kevin Wayne St Jacques |
|---|---|
| Address | 17508 20th Dr Se, Bothell, Washington |
| Phone Number | 2064958562 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | PSY.D., LM |
NPI Number Detail
| NPI Number | 1538226444 |
|---|---|
| Provider Enumeration Date | 2007-01-02 |
| Last Updated Date | 2014-03-07 |
Provider Mailing Address Detail
| Address | 17508 20th Dr Se |
|---|---|
| City | Bothell |
| State | Washington (WA) |
| Post Code | 980126406 |
| Phone Number | 2064958562 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Mental Health |
|---|---|
| Taxonomy | 101Ym0800X |
| Licence No | LH60116269 |
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Definition: A counselor who helps people manage conditions like depression, anxiety, grief, relationship issues, and more. |
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What is the unique 10-digit identification code issued to Kevin Wayne St Jacques by the Centers for Medicare & Medicaid Services?
The Kevin Wayne St Jacques has been assigned the NPI (National Provider Identifier) 1538226444 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Kevin Wayne St Jacques's facilities are geographically located?
The facilities of Kevin Wayne St Jacques are physically situated at the following location: 17508 20Th Dr Se, Bothell, WA, 980126406.
What is Kevin Wayne St Jacques's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Kevin Wayne St Jacques is Mental Health, and the taxonomy code that classifies this field of practice is 101Ym0800X.
When was the Kevin Wayne St Jacques's 1538226444 issued?
The Kevin Wayne St Jacques's 1538226444 was issued on 2007-01-02.
When was the information regarding Kevin Wayne St Jacques, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kevin Wayne St Jacques, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2014-03-07.