Individual
JACOB JAMES WARDELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BEHAVIOR SUPPORT
Contact information
Practice address
3910 W INDIAN TRAIL RD, SPOKANE, WA 99208-4739
(509) 559-3100
Mailing address
3754 W INDIAN TRAIL RD, SPOKANE, WA 99208-4736
(509) 559-3100
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
CG70019524
WA
Other
Enumeration date
06/18/2025
Last updated
06/18/2025
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