Individual
JESSICA DARLENE VERBOOMEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1813 SUMNER AVE, ABERDEEN, WA 98520-4600
(360) 538-1293
(360) 538-2788
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60145201
WA
Other
Enumeration date
10/26/2010
Last updated
10/26/2010
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