Individual
MR. JASON MATTHEW CAIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 7TH AVE SE, LACEY, WA 98503-1062
(360) 413-0046
(360) 413-0586
Mailing address
4405 7TH AVE SE, LACEY, WA 98503-1062
(360) 413-0046
(360) 413-0586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60768765
WA
Other
Enumeration date
01/22/2018
Last updated
01/22/2018
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