Paquette, Simon B.
Paquette, Simon B. is an sole proprietor health care provider with primary practice located at 18608 Se 36Th Cir , Vancouver WA 98683-8244. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as his primary health care specialty. Paquette, Simon B. can be contacted via phone (360) 903-4385.Contact Information
Primary practice address
18608 Se 36Th Cir
Vancouver WA 98683-8244
Phone: (360) 903-4385
Fax: (360) 449-0009
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 2650 | Oregon |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW 60041917 | Washington |
Profile Details
| NPI number | 1376530584 |
|---|---|
| LBN Legal business name | Paquette, Simon B. |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 3rd, 2005 |
| Last updated | May 31st, 2012 - about 13 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1376530584 | NPPES |
| Washington | Other | LW60041917 | LICENSED INDEPENDENT CLINICAL SOCIAL WORKER |
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