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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

DR. KEVIN WAYNE ST JACQUES, PSY.D., LMHC

Active Sole Proprietor

Mental Health Counselor · BOTHELL, WA

Registration Details

NPI Number
1538226444
Provider Type
Individual
Gender
Male
NPI Issued
Jan 2, 2007 (19.302639281109 yrs)
Last Updated
Mar 7, 2014
Licenses
LH60116269 (WA)
LH60116269 (WA)
Sole Proprietor
Yes

Practice Information

Address
17508 20TH DR SE
BOTHELL, WA, 980126406
Browse WA providers · Browse ZIP 98012
Phone
2064958562
Primary Specialty
Mental Health Counselor
101YM0800X
Additional Specialty
Counselor

Other Mental Health Counselor Providers in BOTHELL, WA

Name Credential NPI
MR. STEVEN D. DILL MA. LMHC 1790765824
KATY B. ARAUJO RC 1801977756
CAROL M. CHRISTENSEN LMHC 1891868014
MRS. KATHRYN ANN HULET M.A. LMHC 1083780076
MS. MARGARET MARY NICHOLS M.A. 1437291382
MS. JENNIFER L ELF MS 1437280872
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.