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Individual
JEANIE NICOLE WADIAK
Active
Individual
JEANIE NICOLE WADIAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT, MHCA
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60404199
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60532732
WA
101YM0800X
Mental Health Counselor
MC60521887
WA
Other
Enumeration date
09/29/2016
Last updated
09/29/2016
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