Individual
JASON GUEST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW
Contact information
Practice address
145 S WORTHEN ST, WENATCHEE, WA 98801
(509) 662-6761
Mailing address
145 S WORTHEN ST, WENATCHEE, WA 98801-3081
(509) 662-6761
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60864912
WA
104100000X
Social Worker
Primary
LW60631148
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2069864
—
WA
Enumeration date
10/28/2015
Last updated
10/11/2018
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