Individual provider · NPI-1
Jacqueline Arciniega
Counselor, Mental Health · Omak, WA
NPI number1568515682
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1568515682
- Entity type
- Individual (NPI-1)
- Name
- Jacqueline Arciniega
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | RC00055739 | WA | Yes |
Other names
- Jackie Arciniega (Other Name)
Practice location
1007 Koala AveOmak, WA 98841-9247
Phone 509-826-6191
Mailing address
Po Box 1966Omak, WA 98841-1966
Phone 509-826-6191
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