Provider Demographics
NPI:1922321306
Name:YOUNG-MCMURCHIE, JILL CHRISTENE (LICSW)
Entity Type:Individual
Prefix:
First Name:JILL
Middle Name:CHRISTENE
Last Name:YOUNG-MCMURCHIE
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:JILL
Other - Middle Name:C
Other - Last Name:YOUNG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7821 W 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:KENNEWICK
Mailing Address - State:WA
Mailing Address - Zip Code:99336-9446
Mailing Address - Country:US
Mailing Address - Phone:609-213-9509
Mailing Address - Fax:
Practice Address - Street 1:1409 N PITTSBURG ST
Practice Address - Street 2:
Practice Address - City:KENNEWICK
Practice Address - State:WA
Practice Address - Zip Code:99336-8213
Practice Address - Country:US
Practice Address - Phone:609-213-9509
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-03-12
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW603677891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical