Individual provider · Type 1 NPI

Jamie C. Bouge, RC

Mental Health Counselor · Colville, WA

NPI number 1154560282 Active

Practice location

165 E Hawthorne Ave
Colville, WA 99114-2629

Mailing address

PO Box 1120
Republic, WA 99166-1120

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XRC00053867 (WA)

Mental Health Counselor: Definition to come...

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About NPI 1154560282

Jamie C. Bouge, RC's National Provider Identifier is 1154560282, issued on Feb 12, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Colville, WA. The record was last updated on Feb 17, 2009.