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Organization
VIRGINIA K CAILLETEAU LICSW DBA EVENSTAR COUNSELING
Active
Organization
VIRGINIA K CAILLETEAU LICSW DBA EVENSTAR COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. VIRGINIA K CAILLETEAU LICSW (OWNER)
(253) 257-9137
Entity
Organization
Contact information
Practice address
1204 4TH AVE E, OLYMPIA, WA 98506-4277
(253) 257-9137
(360) 785-2545
Mailing address
5815 LACEY BLVD SE UNIT 3655, LACEY, WA 98509-4033
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LW60836768
DEPARTMENT OF LICENSING
WA
Enumeration date
01/22/2020
Last updated
02/14/2023
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