Individual
JAY NORMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
730 6TH ST, CLARKSTON, WA 99403-2012
(509) 254-4476
Mailing address
PO BOX 15, CLARKSTON, WA 99403-0015
(509) 254-4476
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LH60322742
WA
101YM0800X
Mental Health Counselor
LH60322742
WA
Other
Enumeration date
02/27/2013
Last updated
02/27/2013
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