Individual
JONATHON SEABORN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
707 N PEARL ST STE E, ELLENSBURG, WA 98926-2938
(509) 575-4084
Mailing address
PO BOX 959, YAKIMA, WA 98907-0959
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/13/2018
Last updated
07/13/2018
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