Individual
JAY YOURGLICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BA, CDP
Contact information
Practice address
3315 S 23RD ST STE 102, TACOMA, WA 98405-1615
(253) 272-2242
(253) 272-0171
Mailing address
3315 S 23RD ST STE 102, TACOMA, WA 98405-1615
(253) 272-2242
(253) 272-0171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60068240
WA
Other
Enumeration date
12/17/2018
Last updated
12/17/2018
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