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Jared Scott Detrolio
Counselor in Moses Lake, Washington
NPI 1982170122

Jared Scott Detrolio is a Counselor based in Moses Lake, WA. Jared Scott Detrolio practices in Moses Lake, WA. The NPI Number for Jared Scott Detrolio is 1982170122 and holds a License No. CG60867653 (Washington).

The current practice location address for Jared Scott Detrolio is 840 E Plum St, Moses Lake, WA and can be reached out via phone at 509-765-9239 and via fax at 509-765-4124.

Location: 840 E Plum St, Moses Lake, WA, 98837-1874
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982170122
Provider Name
Jared Scott Detrolio
Credential
Provider Entity Type
Individual
Gender
Male
Address
840 E Plum St, Moses Lake, WA, 98837-1874
Phone Number
509-765-9239
Fax Number
509-765-4124
Provider Enumeration Date
10/15/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
840 E Plum St
City
Moses Lake
State
Washington
Zip
98837-1874
Phone Number
509-765-9239
Fax Number
509-765-4124
person
Provider Business Mailing Address Details
Address
840 E Plum St
City
Moses Lake
State
Washington
Zip
98837-1874
Phone Number
509-765-9239
Fax Number
509-765-4124
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
CG60867653 (Washington)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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