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Individual

JOEL T HELLENKAMP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW

Contact information

Practice address
1404 N CEDAR ST, TACOMA, WA 98406-6424
(253) 752-6658
Mailing address
1404 N CEDAR ST, TACOMA, WA 98406-6424
(253) 752-6658
(253) 752-6819

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
LW00004521
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0007559170
AETNA'S PROVIDER NUMBER
WA
01
127195100000
PREMERA PROVIDER NUMBER
WA
01
HE4555
REGENCE RIDER NUMBER
WA
Enumeration date
01/09/2007
Last updated
11/16/2020
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