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Jason Lee Earl
Mental Health Counselor in Centralia, Washington
NPI 1205506243

Jason Lee Earl is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Jason Lee Earl practices in Centralia, WA. The NPI Number for Jason Lee Earl is 1205506243 and holds a License No. (Washington).

The current practice location address for Jason Lee Earl is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205506243
Provider Name
Jason Lee Earl
Credential
Provider Entity Type
Individual
Gender
Male
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-330-9044
Fax Number
Provider Enumeration Date
09/20/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
Centralia
State
Washington
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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