Individual provider · Type 1 NPI
Jennifer M. Wakeman, NCC, LMHC, SUDP
Addiction (Substance Use Disorder) Counselor · Vancouver, WA
NPI number
1629130299
Active
Practice location
12607 SE Mill Plain Blvd
Vancouver, WA 98684
Fax (360) 896-4478
Other practice locations
- 6926 NE Fourth Plain Blvd, Vancouver, WA 98661 · (360) 993-3000
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor | 101YM0800X | LH00009179 (WA) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CP00006159 (WA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1629130299
Jennifer M. Wakeman, NCC, LMHC, SUDP's National Provider Identifier is 1629130299, issued on Dec 13, 2006. 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 Dec 21, 2021.