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Individual

JAIME BARAJAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CP61586797

Contact information

Practice address
111 SOUTH 2ND AVE, YAKIMA, WA 98902
(509) 575-2885
Mailing address
33 S 2ND AVE, YAKIMA, WA 98902-3414
(509) 864-8782

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61586797
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
91-0948131
WA
Enumeration date
08/01/2022
Last updated
03/18/2026
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