Individual provider · Type 1 NPI

Jack Maris

Mental Health Counselor · Yakima, WA

NPI number 1467668392 Active

Practice location

402 S 4th Ave
Yakima, WA 98902-3546

Mailing address

PO Box 959
Yakima, WA 98907-0959

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

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About NPI 1467668392

Jack Maris's National Provider Identifier is 1467668392, issued on May 15, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Yakima, WA. The record was last updated on Jul 8, 2007.