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Jessica N Eastman
Addiction (Substance Use Disorder) Counselor in Kelso, Washington
NPI 1073183521

Jessica N Eastman is an Addiction (Substance Use Disorder) Counselor based in Longview, WA and is specialized in Addiction (Substance Use Disorder). Jessica N Eastman practices in Kelso, WA. The NPI Number for Jessica N Eastman is 1073183521 and holds a License No. C061156210 (Washington).

The current practice location address for Jessica N Eastman is 404 W Main St, Kelso, WA and can be reached out via phone at 360-423-2806.

Location: 404 W Main St, Kelso, WA, 98632-3154
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1073183521
Provider Name
Jessica N Eastman
Credential
Provider Entity Type
Individual
Gender
Female
Address
404 W Main St, Kelso, WA, 98632-3154
Phone Number
360-423-2806
Fax Number
Provider Enumeration Date
06/28/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
404 W Main St
City
Kelso
State
Washington
Zip
98626-1118
Phone Number
360-423-2806
Fax Number
person
Provider Business Mailing Address Details
Address
404 W Main St
City
Kelso
State
Washington
Zip
98626-1118
Phone Number
360-423-2806
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C061156210 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
C061156210 (Washington)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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