Individual
JASON G HALSTEAD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
511 W HERON ST, ABERDEEN, WA 98520-6022
(564) 544-1950
Mailing address
511 W HERON ST, ABERDEEN, WA 98520-6022
(564) 544-1950
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61409282
WA
Other
Enumeration date
06/29/2023
Last updated
06/29/2023
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