Individual
JADE MCKERN VANDERWOOD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, AAC
Contact information
Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG60643421
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
W032089027
AETNA
WA
Enumeration date
02/26/2016
Last updated
01/09/2023
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