Provider Demographics
NPI:1447341474
Name:WHETSTONE, JANE MARIE (BA)
Entity type:Individual
Prefix:MRS
First Name:JANE
Middle Name:MARIE
Last Name:WHETSTONE
Suffix:
Gender:F
Credentials:BA
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1660 S COLUMBIAN WAY MS S116MHC
Mailing Address - Street 2:SEATTLE VA
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-1597
Mailing Address - Country:US
Mailing Address - Phone:206-764-2007
Mailing Address - Fax:206-764-2572
Practice Address - Street 1:1660 S COLUMBIAN WAY MS S116MHC
Practice Address - Street 2:SEATTLE VA
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98108-1597
Practice Address - Country:US
Practice Address - Phone:206-764-2007
Practice Address - Fax:206-764-2572
Is Sole Proprietor?:No
Enumeration Date:2006-09-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00008517101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health