Provider Demographics
NPI:1164775540
Name:CLAUSEN, JAMIE LOUISE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LOUISE
Last Name:CLAUSEN
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1809 COMMERCIAL AVE # 205
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2326
Mailing Address - Country:US
Mailing Address - Phone:360-202-3605
Mailing Address - Fax:
Practice Address - Street 1:1809 COMMERCIAL AVE # 205
Practice Address - Street 2:
Practice Address - City:ANACORTES
Practice Address - State:WA
Practice Address - Zip Code:98221-2326
Practice Address - Country:US
Practice Address - Phone:360-202-3605
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-10-22
Last Update Date:2022-03-18
Deactivation Date:2018-09-29
Deactivation Code:
Reactivation Date:2018-10-12
Provider Licenses
StateLicense IDTaxonomies
WALH60597987101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health