Paulk, Jill M
Paulk, Jill M is an sole proprietor health care provider with primary practice located at 884 West Park Avenue , Port Townsend WA 98368. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Paulk, Jill M can be contacted via phone (360) 385-0321.Contact Information
Primary practice address
884 West Park Avenue
Port Townsend WA 98368
Phone: (360) 385-0321
Fax: (360) 379-5534
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 44SC01167500 | New Jersey |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | PR017066 | New York |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | LW00009448 | Washington |
Profile Details
| NPI number | 1003977463 |
|---|---|
| LBN Legal business name | Paulk, Jill M |
| Credentials | LICSW |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 12th, 2006 |
| Last updated | Jul 12th, 2010 - about 16 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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