Individual
JESSICA N EASTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
58646 MCNULTY WAY, SAINT HELENS, OR 97051-6210
(503) 397-5211
Mailing address
1317 S 7TH AVE, KELSO, WA 98626-2424
(360) 623-0619
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C061156210
WA
390200000X
Student in an Organized Health Care Education/Training Program
C061156210
WA
Other
Enumeration date
06/28/2021
Last updated
10/02/2025
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