JACOB E SKENANDORE
NPI 1518501204
Counselor - Mental Health in Olympia, WA
Active since November 05, 2019
About Jacob E Skenandore NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACOB E SKENANDORE (NPI 1518501204) is an individual mental health provider in Olympia, Washington and active in the NPI registry since November 2019.
NPPES Registry Identity
NPI1518501204
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACOB E SKENANDORE
Location Address3436 MARY ELDER RD NEOlympia, WA 98506-5050
Mailing Address300 Kenyon St Nw Apt R4Olympia, WA 98502-2785
Phone(360) 528-2590
Sole ProprietorYes
Enumeration DateNovember 5, 2019
✔ NPI 1518501204 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
3436 MARY ELDER RD NE, Olympia, WA 98506
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518501204, enumerated as an "individual" on November 05, 2019.
The provider is located at 3436 MARY ELDER RD NE OLYMPIA, WA 98506 and the phone number is (360) 528-2590.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
