Individual
JEROME LAN MCCAMBRIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6100 SOUTHCENTER BLVD, SOUND MENTAL HEALTH, TUKWILA, WA 98188-2442
(206) 444-7800
(206) 444-7810
Mailing address
1600 E OLIVE ST, SOUND MENTAL HEALTH, SEATTLE, WA 98122-2735
(206) 302-2200
(206) 302-2210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CO60256567
WA
Other
Enumeration date
01/06/2012
Last updated
01/06/2012
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