Individual
JAMIE ILENE NORWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1616 10TH AVE, LONGVIEW, WA 98632-4119
(360) 423-0203
(360) 577-0269
Mailing address
PO BOX 1847, LONGVIEW, WA 98632
(360) 423-0203
(360) 577-0269
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60798556
WA
101Y00000X
Counselor
60806661
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2098007
—
WA
Enumeration date
10/27/2017
Last updated
11/21/2019
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