person
Jennifer M Wakeman, NCC,LMHC,SUDP
Addiction (Substance Use Disorder) Counselor in Vancouver, Washington
NPI 1629130299

Jennifer M Wakeman is an Addiction (Substance Use Disorder) Counselor based in Vancouver, WA and is specialized in Addiction (Substance Use Disorder). Jennifer M Wakeman practices in Vancouver, WA and has the professional credentials of NCC,LMHC,SUDP. The NPI Number for Jennifer M Wakeman is 1629130299 and holds a License No. LH00009179 (Washington).

The current practice location address for Jennifer M Wakeman is 12607 Se Mill Plain Blvd, Vancouver, WA and can be reached out via phone at 360-896-4460 and via fax at 360-896-4478.

Location: 12607 Se Mill Plain Blvd, Vancouver, WA, 98684-6055
person
Provider Profile Details
NPI Number
1629130299
Provider Name
Jennifer M Wakeman
Credential
NCC,LMHC,SUDP
Provider Entity Type
Individual
Gender
Female
Address
12607 Se Mill Plain Blvd, Vancouver, WA, 98684-6055
Phone Number
360-896-4460
Fax Number
360-896-4478
Provider Enumeration Date
12/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
12607 Se Mill Plain Blvd
City
State
Zip
98684
Phone Number
360-896-4460
Fax Number
360-896-4478
person
Provider Business Mailing Address Details
Address
12607 Se Mill Plain Blvd
City
State
Zip
98684
Phone Number
360-896-4460
Fax Number
360-896-4478
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00006159 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
LH00009179 (Washington)
Definition
Definition to come...
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