Kallusch, Charlene Blanchard

Kallusch, Charlene Blanchard is an individual health care provider with primary practice located at 1344 Wintergreen Ln Ne , Bainbridge Island WA 98110-5147. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Psychologist is her primary health care specialty. Kallusch, Charlene Blanchard can be contacted via phone (206) 842-5632.

Contact Information

Primary practice address
1344 Wintergreen Ln Ne Bainbridge Island WA 98110-5147
Phone: (206) 842-5632
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X PSY24134 California
Behavioral Health & Social Service Providers / Psychologist 103T00000X PY61400544 Washington

Profile Details

NPI number 1538359179
LBN Legal business name Kallusch, Charlene Blanchard
Credentials PSY.D
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 30th, 2007
Last updated Sep 28th, 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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Identifiers

StateTypeNumberIssuer
All States NPI 1538359179 NPPES
California Other 01CR MEDI-CAL

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