Individual
MR. JEREMY MATHESON WEKELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
5435 S M ST, SUITE 103, TACOMA, WA 98408-3530
(253) 473-7586
Mailing address
5435 S M ST, SUITE 103, TACOMA, WA 98408-3530
(253) 473-7586
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
RC 00053150
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00006204
WA
Other
Enumeration date
07/31/2009
Last updated
07/31/2009
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