Individual provider · Type 1 NPI

Jesika Richanne Sand

Addiction (Substance Use Disorder) Counselor · Centralia, WA

NPI number 1144850587 Active

Practice location

209 W Main St
Centralia, WA 98531-4245

Call (360) 748-4339 Map

Other practice locations

  • 2428 W Reynolds Ave, Centralia, WA 98531-4554 · (360) 330-9044

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP61454157 (WA)

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

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About NPI 1144850587

Jesika Richanne Sand's National Provider Identifier is 1144850587, issued on Jan 24, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Centralia, WA. The record was last updated on Oct 9, 2023.