Individual provider · Type 1 NPI

Mia Jean Vandermeer, SUDPT

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1104626589 Active

Practice location

2924 Falk Rd
Vancouver, WA 98661-5604

Call (360) 690-3069 Map

Mailing address

898 Mill St
Kelso, WA 98626-2911

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X61578056 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1104626589

Mia Jean Vandermeer, SUDPT's National Provider Identifier is 1104626589, issued on Mar 15, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Mar 15, 2025.