Individual provider · Type 1 NPI

Jamie Lee Ellertsen, CDP

Addiction (Substance Use Disorder) Counselor · Spokane Valley, WA

NPI number 1326511452 Active

Practice location

12715 E Mission Ave
Spokane Valley, WA 99216-1027

Fax (509) 321-5472

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60894277 (WA)

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

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About NPI 1326511452

Jamie Lee Ellertsen, CDP's National Provider Identifier is 1326511452, issued on Jan 11, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane Valley, WA. The record was last updated on Jan 11, 2019.