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Michelle Jaquish — NPI 1831824424, Fircrest, WA | NPI Central

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NPI 1831824424

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Michelle Jaquish

NPI 1831824424 · Clinical Social Worker · Fircrest, WA

Provider details

NPI number: 1831824424
Entity type: Organization
Primary specialty: Clinical Social WorkerBehavioral Health & Social Service Providers
Organization subpart: No
Authorized official: Michelle Jaquish, Sole Owner(541) 626-6356

Specialties & taxonomies

Clinical Social WorkerPrimary1041C0700X
Behavioral Health & Social Service Providers

Practice location

6314 19th St W Ste 7

Fircrest, WA 98466-6223

Phone: (601) 207-8735

Approximate (ZIP-level) locationGet directions

More WA providers

Mailing address

6314 19th St W Ste 7

Fircrest, WA 98466-6223

Other names (DBA / former)

Doing business as: Banshee Therapy Services
Doing business as: Banshee Therapy Services

Registry dates

Enumerated: 2022-07-19
Last updated: 2025-01-13
Certified: 2025-01-13

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.