Individual
JEREMY YOUNG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
603 NE 7TH ST, BATTLE GROUND, WA 98604-8151
(360) 903-0124
Mailing address
603 NE 7TH ST, BATTLE GROUND, WA 98604-8151
(360) 903-0124
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002043
WA
Other
Enumeration date
12/28/2016
Last updated
08/11/2020
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