Individual
JAY THIELEN JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
960 E 3RD AVE, SPOKANE, WA 99202-2241
(509) 919-3362
Mailing address
1723 N NORMANDIE ST, SPOKANE, WA 99205-4853
(509) 919-3362
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
C070050489
WA
Other
Enumeration date
12/08/2025
Last updated
12/08/2025
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