JACKILYN IMPER MSW NPI 1811485311

NPI Information

NPI: 1811485311
Provider Name: JACKILYN IMPER, MSW
Classification: Counselor - 101YM0800X
Entity Type: Individual

Specialization: Mental Health

Address:
945 11TH AVE
LONGVIEW, WA
ZIP 98632
Phone: (503) 720-4706
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Jackilyn Imper, MSW is a mental health counselor in Longview, WA. Jackilyn Imper, MSW NPI is 1811485311. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

945 11TH AVE
LONGVIEW, WA
ZIP 98632-555
Phone: (503) 720-4706

The enumeration date for this NPI number is 4/30/2018 and was last updated on 4/3/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health	LW61481125	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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