Individual
JERILYN JO CARSTAIRS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED., LMFT
Contact information
Practice address
13018 SW COVE RD, VASHON, WA 98070-3752
(206) 567-4667
Mailing address
13018 SW COVE RD, VASHON, WA 98070-3752
(206) 567-4667
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF 00001068
WA
Other
Enumeration date
11/17/2010
Last updated
11/17/2010
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