Provider Demographics
NPI:1770234254
Name:BOYLE, JOLENE FRANCES (LMHC)
Entity Type:Individual
Prefix:
First Name:JOLENE
Middle Name:FRANCES
Last Name:BOYLE
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 1:4026 NE 55TH ST STE E
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-2264
Mailing Address - Country:US
Mailing Address - Phone:206-654-2995
Mailing Address - Fax:
Practice Address - Street 1:4026 NE 55TH ST STE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-2264
Practice Address - Country:US
Practice Address - Phone:206-654-2995
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-15
Last Update Date:2022-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty