Burrell, Kloe Jasmine
Burrell, Kloe Jasmine is an sole proprietor health care provider with primary practice located at 1202 Black Lake Blvd Sw Suite B, Olympia WA 98502-7208. She recently has 2 registered licenses in different health care specialties including Other Service Providers / Peer Specialist, Behavioral Health & Social Service Providers / Behavior Technician. Other Service Providers / Peer Specialist is her primary health care specialty. Burrell, Kloe Jasmine can be contacted via phone (360) 878-8248.Contact Information
Primary practice address
1202 Black Lake Blvd Sw Suite B
Olympia WA 98502-7208
Phone: (360) 878-8248
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Other Service Providers / Peer Specialist | 175T00000X | ||
| Behavioral Health & Social Service Providers / Behavior Technician | 106S00000X |
Profile Details
| NPI number | 1861180366 |
|---|---|
| LBN Legal business name | Burrell, Kloe Jasmine |
| Credentials | |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Apr 24th, 2023 |
| Last updated | Aug 17th, 2023 - about 3 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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