Individual
JAY JUHL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1210 S 72ND AVE, E47, YAKIMA, WA 98908-1994
(509) 380-9618
Mailing address
1210 S 72ND AVE, E47, YAKIMA, WA 98908-1994
(509) 380-9618
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
RC60048112
WA
Other
Enumeration date
09/12/2008
Last updated
07/31/2009
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