Individual
JASON DAVID WILLIAMS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CP61677162
Contact information
Practice address
8115 BIRCH BAY SQUARE ST STE 138, BLAINE, WA 98230-9805
(360) 676-2188
(360) 543-6957
Mailing address
8115 BIRCH BAY SQUARE ST STE 138, BLAINE, WA 98230-9805
(360) 676-2188
(360) 543-6957
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61677162
WA
Other
Enumeration date
06/27/2022
Last updated
04/16/2025
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