Individual
BILLIE JO ST JEAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW
Contact information
Practice address
9633 LEVIN RD NW STE 3, SILVERDALE, WA 98383-8131
(360) 377-8200
(360) 377-6956
Mailing address
9633 LEVIN RD NW STE 3, SILVERDALE, WA 98383-8131
(360) 377-8200
(360) 377-6956
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60809394
WA
101YM0800X
Mental Health Counselor
—
WA
1041C0700X
Clinical Social Worker
Primary
LW61099307
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2099484
—
WA
Enumeration date
10/11/2017
Last updated
11/24/2021
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