person
Mr. Jack Otto Lehmann
Addiction (Substance Use Disorder) Counselor in Mossyrock, Washington
NPI 1679090294

Jack Otto Lehmann is an Addiction (Substance Use Disorder) Counselor based in Mossyrock, WA and is specialized in Addiction (Substance Use Disorder). Jack Otto Lehmann practices in Mossyrock, WA. The NPI Number for Jack Otto Lehmann is 1679090294 and holds a License No. CO60628423 (Washington).

The current practice location address for Jack Otto Lehmann is 230 E State St, Mossyrock, WA and can be reached out via phone at 360-983-3227 and via fax at 360-983-3289.

Location: 230 E State St, Mossyrock, WA, 98564-0087
person
Provider Profile Details
NPI Number
1679090294
Provider Name
Jack Otto Lehmann
Credential
Provider Entity Type
Individual
Gender
Male
Address
230 E State St, Mossyrock, WA, 98564-0087
Phone Number
360-983-3227
Fax Number
360-983-3289
Provider Enumeration Date
08/24/2017
Last Update Date
10/19/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1991983 05 WA
institution
Provider Business Practice Location Address Details
Address
230 E State St
City
State
Zip
98564
Phone Number
360-983-3227
Fax Number
360-983-3289
person
Provider Business Mailing Address Details
Address
230 E State St
City
State
Zip
98564
Phone Number
360-983-3227
Fax Number
360-983-3289
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CO60628423 (Washington)
Definition
Definition to come...
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