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Individual
MR. WILLIAM W JAECKEL
Active
Individual
MR. WILLIAM W JAECKEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHCA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC60197685
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
MC60197685
WA STATE DEPT OF HEALTH
WA
Enumeration date
04/27/2011
Last updated
04/27/2011
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