Individual provider · Type 1 NPI

Jay Thielen Jr., SUDP

Addiction (Substance Use Disorder) Counselor · Spokane, WA

NPI number 1609739416 Active

Practice location

960 E 3rd Ave
Spokane, WA 99202-2241

Mailing address

1723 N Normandie St
Spokane, WA 99205-4853

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC070050489 (WA)

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

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About NPI 1609739416

Jay Thielen Jr., SUDP's National Provider Identifier is 1609739416, issued on Dec 8, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Spokane, WA. The record was last updated on Dec 8, 2025.