Individual
JAIME LEE CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
1305 MANSFIELD ST STE 6, RICHLAND, WA 99352-3588
(509) 942-1624
Mailing address
1305 MANSFIELD ST STE 6, RICHLAND, WA 99352-3588
(509) 942-1624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
RC00051714
WA
Other
Enumeration date
04/11/2007
Last updated
11/19/2018
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