Provider Demographics
NPI:1699931477
Name:APPLE, MARY JANE (LMHC)
Entity type:Individual
Prefix:
First Name:MARY JANE
Middle Name:
Last Name:APPLE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 963
Mailing Address - Street 2:
Mailing Address - City:SEQUIM
Mailing Address - State:WA
Mailing Address - Zip Code:98382-0963
Mailing Address - Country:US
Mailing Address - Phone:360-460-5297
Mailing Address - Fax:360-683-5274
Practice Address - Street 1:234 OSPREY GLEN RD
Practice Address - Street 2:
Practice Address - City:SEQUIM
Practice Address - State:WA
Practice Address - Zip Code:98382-9799
Practice Address - Country:US
Practice Address - Phone:360-460-5297
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-07-31
Last Update Date:2008-07-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010177101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health