Individual
JACQUELINE MARIE DELISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT, MHP, CMHS
Contact information
Practice address
221 WELLS AVE S, RENTON, WA 98057-2161
(206) 794-8109
(425) 226-6153
Mailing address
221 WELLS AVE S, RENTON, WA 98057-2161
(206) 794-8109
(425) 226-6153
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LF60651912
WA
Other
Enumeration date
04/14/2014
Last updated
12/05/2016
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