Individual
JESSICA PADILLA-BUENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CO 60904317
Contact information
Practice address
1906 N 20TH AVE, PASCO, WA 99301-3393
(509) 792-1041
(509) 792-1034
Mailing address
1906 N 20TH AVE, PASCO, WA 99301-3393
(509) 792-1041
(509) 792-1034
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60795621
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60904317
WA
101YM0800X
Mental Health Counselor
70091337
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
91-0755984
—
WA
Enumeration date
07/05/2019
Last updated
06/16/2026
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