Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | WA |
NPI | 1003260225 |
---|---|
Provider Name | Jaime Werner |
First Address | Marysville, WA 98271 |
Second Address | Marysville, WA 98271-8976 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 14/04/2016 |
Last Update Date | 14/04/2016 |