| Virginia K Cailleteau Licsw Dba Evenstar Counseling | |
|
1204 4th Ave E Olympia WA 98506-4277 | |
| (253) 257-9137 | |
| (360) 785-2545 |
| Full Name | Virginia K Cailleteau Licsw Dba Evenstar Counseling |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1204 4th Ave E, Olympia, Washington |
| Authorized Official Name and Position | Virginia K Cailleteau (OWNER) |
| Authorized Official Contact | 2532579137 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virginia K Cailleteau Licsw Dba Evenstar Counseling 5815 Lacey Blvd Se Unit 3655 Lacey WA 98509-4033 Ph: () - | Virginia K Cailleteau Licsw Dba Evenstar Counseling 1204 4th Ave E Olympia WA 98506-4277 Ph: (253) 257-9137 |
| NPI Number | 1922638501 |
|---|---|
| Provider Enumeration Date | 01/22/2020 |
| Last Update Date | 02/14/2023 |
| Certification Date | 02/08/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922638501 | NPI | - | NPPES |
| LW60836768 | Other | WA | DEPARTMENT OF LICENSING |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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