Female

Mrs. Jill M. Casebolt M.A. - L.M.H.C

Mental Health Counselor in Olympia, WA(View on Map)

Full Name

Mrs. Jill Meredith Joanis Casebolt M.A. - L.M.H.C

NPI Number

1174643266

NPI Type

Individual Provider

Gender

Female

Enumeration Date

03/30/2007

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Washington
Washington

License Number

LH60087706
RC00051153

Contact
Information

Purpose

Mailing
Location

Address

108 20TH AVE SW
120 STATE AVE NE

City

Olympia
Olympia

State

WA
WA

Postal Code

98501
98501

Country

US
US

Telephone Number

(360) 339-2253
(360) 339-2253

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 09/15/2020

Provider Address

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