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Individual
JACQUELINE MYERS
Active
Individual
JACQUELINE MYERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, SUDPT, MHP, CC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO61253766
WA
101YM0800X
Mental Health Counselor
Primary
CL60831073
WA
106E00000X
Assistant Behavior Analyst
—
—
Other
Enumeration date
09/08/2021
Last updated
03/24/2025
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