Individual
JAYSON CONNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COUNSELOR AFFILIATE
Contact information
Practice address
5197 NW LOWER RIVER ROAD, BUILDING #1, VANCOUVER, WA 98660
(360) 397-8246
Mailing address
3100 SE 168TH AVE APT 196, VANCOUVER, WA 98683-2119
(360) 643-3091
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
08/28/2023
Last updated
09/07/2023
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