Individual
JASON STILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 14TH AVE, LONGVIEW, WA 98632
(360) 748-4339
Mailing address
PO BOX 1847, LONGVIEW, WA 98632
(360) 330-9044
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
60797515
WA
Other
Enumeration date
03/12/2019
Last updated
08/04/2026
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