DR. Kevin Wayne St Jacques, PSY.D., LMHC
NPI #1538226444 in Bothell, Washington
Provider Information
- NPI Number
- 1538226444
- Entity Type
- Individual
- Name
- DR. Kevin Wayne St Jacques, PSY.D., LMHC
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Mental Health
- Credential
- PSY.D., LMHC
- Enumeration Date
- Jan 2, 2007
- Last Updated
- Mar 7, 2014
Practice Location
- Address
- 17508 20TH DR SE
- City
- Bothell
- State
- Washington
- ZIP Code
- 98012-6406
- Phone
- (206) 495-8562
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Mental Health — Mental Health |
| Counselor |
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