Individual
MR. JESSE ALLEN JAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CL, SUDP, CGCS
Contact information
Practice address
6926 NE FOURTH PLAIN BLVD, VANCOUVER, WA 98661-7254
(360) 993-3000
Mailing address
408 SE 7TH ST, BATTLE GROUND, WA 98604-8372
(360) 980-2722
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006269
WA
101YP2500X
Professional Counselor
Primary
CL6109010
WA
Other
Enumeration date
07/06/2009
Last updated
10/24/2024
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