person
Jason Immanuel Brandis, SUDPT
Addiction (Substance Use Disorder) Counselor in Chehalis, Washington
NPI 1477161552

Jason Immanuel Brandis is an Addiction (Substance Use Disorder) Counselor based in Chehalis, WA and is specialized in Addiction (Substance Use Disorder). Jason Immanuel Brandis practices in Chehalis, WA and has the professional credentials of SUDPT. The NPI Number for Jason Immanuel Brandis is 1477161552 and holds a License No. 61077105 (Washington).

The current practice location address for Jason Immanuel Brandis is 1956 Ne Kresky Ave, Chehalis, WA and can be reached out via phone at 360-740-4380.

Location: 1956 Ne Kresky Ave, Chehalis, WA, 98532-0059
person
Provider Profile Details
NPI Number
1477161552
Provider Name
Jason Immanuel Brandis
Credential
SUDPT
Provider Entity Type
Individual
Gender
Male
Address
1956 Ne Kresky Ave, Chehalis, WA, 98532-0059
Phone Number
360-740-4380
Fax Number
Provider Enumeration Date
07/15/2020
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2161081 05 WA
institution
Provider Business Practice Location Address Details
Address
1956 Ne Kresky Ave
City
State
Zip
98532-2307
Phone Number
360-740-4380
Fax Number
person
Provider Business Mailing Address Details
Address
1956 Ne Kresky Ave
City
State
Zip
98532-2307
Phone Number
360-740-4380
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
61077105 (Washington)
Definition
Definition to come...
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