Individual provider · Type 1 NPI

Jessica Ann Greenwell, CDPT

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1548548696 Active

Practice location

1601 E 4th Plain Blvd, Bldg 17 Ste B222
Vancouver, WA 98661-3753

Call (360) 397-8484 Map

Fax (360) 397-8494

Mailing address

PO Box 1845
Vancouver, WA 98668-1845

Specialties and licenses

TaxonomyCodeLicense
Case Manager/Care Coordinator 171M00000XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO60440623 (WA)

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

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About NPI 1548548696

Jessica Ann Greenwell, CDPT's National Provider Identifier is 1548548696, issued on Jul 22, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Vancouver, WA. The record was last updated on Jan 30, 2014.