Provider Demographics
NPI:1447779004
Name:CALIFF, JAMIE LAINE (LMHC)
Entity Type:Individual
Prefix:
First Name:JAMIE
Middle Name:LAINE
Last Name:CALIFF
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 1:2353 W 8TH ST
Mailing Address - Street 2:
Mailing Address - City:WASHOUGAL
Mailing Address - State:WA
Mailing Address - Zip Code:98671-7491
Mailing Address - Country:US
Mailing Address - Phone:360-713-2319
Mailing Address - Fax:
Practice Address - Street 1:11802 NE 117TH AVE
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-1560
Practice Address - Country:US
Practice Address - Phone:360-891-2000
Practice Address - Fax:360-944-6965
Is Sole Proprietor?:No
Enumeration Date:2017-09-14
Last Update Date:2017-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60768021101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health