SearchWashington101YM0800X

Kevin St Jacques, PSY.D., LMHC

NPI 1538226444 · on the registry since 2007 · sole proprietor

Practice

Address
17508 20th Dr Se
Bothell, WA 98012
Phone
(206) 495-8562

Registry record

Primary taxonomy
101YM0800X
101YM0800X
Also registered as
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2014-03-07

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington