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NPI Code Detail

MEDICARE: KRISTI L. JUETTE LICSW

MEDICARE:   KRISTI L. JUETTE  LICSW
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselorRC00047286WA
2171M00000XCase Manager/Care CoordinatorLW60111389WA

General Provider Information

NPI Number : 1841399698
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTI L. JUETTE LICSW
Provider Business Mailing Address
First Line : 605 S COOLIDGE ST
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-1873
Country : US
Telephone Number : 509-765-0674
Fax Number : 509-765-6591
Provider Business Practice Location Address
First Line : 605 S COOLIDGE ST
Second Line :
City : MOSES LAKE
State : WA
Zip : 98837-1873
Country : US
Telephone Number : 509-765-0674
Fax Number : 509-765-6591
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2006
Last Update Date : 10/19/2021

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Directions to “ KRISTI L. JUETTE LICSW” Practice Location

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