Individual
MRS. JEANNETTE WYATT MULVIHILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LICSW, SUDP
Contact information
Practice address
15601 93RD CT NE, BOTHELL, WA 98011-6810
(206) 588-6975
Mailing address
815 N STRATFORD RD STE B, MOSES LAKE, WA 98837-1587
(206) 588-6975
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60499386
WA
1041C0700X
Clinical Social Worker
Primary
LW61503389
WA
Other
Enumeration date
10/26/2018
Last updated
06/25/2024
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