Individual provider · Type 1 NPI

JC Ephraim Jr., CCC, SUDP, MHP, CAAL

Mental Health Counselor · Renton, WA

NPI number 1497028823 Active

Practice location

15 S Grady Way Ste 310
Renton, WA 98057-3215

Call (206) 726-0430 Map

Mailing address

PO Box 6385
Kent, WA 98064-6385

Other practice locations

15 S Grady Way Ste 241, Renton, WA 98057-3209 · (206) 650-4024

Specialties and licenses

Taxonomy	Code	License
Mental Health Counselor	101YM0800X	CL60461451 (WA)
Mental Health Counselor Primary	101YM0800X	CU61584983 (WA)
Addiction (Substance Use Disorder) Counselor	101YA0400X	CP00001663 (WA)

Mental Health Counselor: Definition to come...

4 other providers at this address

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About NPI 1497028823

JC Ephraim Jr., CCC, SUDP, MHP, CAAL's National Provider Identifier is 1497028823, issued on Feb 15, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Renton, WA. The record was last updated on Jul 12, 2025.