Doctor Name: | JASMINE RAE ABBOTT |
NPI Number: | 1750717112 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | B.A. |
License Number: | CG60369664 |
Business Practice Address: | 901 N Monroe St Suite 200 Spokane, WA - 992012104 |
Business Phone Number: | 5093282740 |
Business Fax Number: | 5093280773 |
Mailing Address: | 6505 218th St Sw, MOUNTLAKE TERRACE |
State: | WA |
Postal Code: | 980432135 |
Phone Number: | 2063650809 |
Fax Number: | 2063650872 |
NPI Enumeration Date: | 09/17/2013 |
NPI Last Update Date: | 09/17/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | CG60369664 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |