| St Jacques Consulting Group Llc | |
|
22722 29th Dr Se Suite 100 Bothell WA 98021-4401 | |
| (425) 780-4499 | |
| (949) 266-5784 |
| Full Name | St Jacques Consulting Group Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 22722 29th Dr Se, Bothell, Washington |
| Authorized Official Name and Position | Kevin St Jacques (OWNER) |
| Authorized Official Contact | 4257804499 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| St Jacques Consulting Group Llc 22722 29th Dr Se Suite 100 Bothell WA 98021-4401 Ph: (425) 780-4499 | St Jacques Consulting Group Llc 22722 29th Dr Se Suite 100 Bothell WA 98021-4401 Ph: (425) 780-4499 |
| NPI Number | 1588116024 |
|---|---|
| Provider Enumeration Date | 11/01/2016 |
| Last Update Date | 11/01/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588116024 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | LH60116269 (Washington) | Primary |
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