Individual
JASON WILLIAMSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
222 TARRAGON WAY, CALDWELL, ID 83605-1164
(208) 310-9710
Mailing address
222 TARRAGON WAY, CALDWELL, ID 83605-1164
(208) 310-9710
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8331429
ID
101YM0800X
Mental Health Counselor
LH61671194
WA
101YP2500X
Professional Counselor
Primary
8331429
ID
101YP2500X
Professional Counselor
C9345
OR
101YP2500X
Professional Counselor
Primary
LPC-9159
ID
Other
Enumeration date
01/27/2022
Last updated
03/25/2026
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