Individual provider · Type 1 NPI

Jacob Alexander Timmerman, MA

Counselor · Vancouver, WA

NPI number 1629350095 Active

Practice location

12607 SE Mill Plain Blvd
Vancouver, WA 98684-6055

Call (800) 813-2000 Map

Mailing address

500 NE Multnomah St Ste 100
Portland, OR 97232-2031

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800XLF60611773 (WA)
Counselor Primary 101Y00000XLF60611773 (WA)
Mental Health Counselor 101YM0800XT1006 (OR)
Counselor 101Y00000XT1006 (OR)

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1629350095

Jacob Alexander Timmerman, MA's National Provider Identifier is 1629350095, issued on Sep 12, 2011. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Vancouver, WA. The record was last updated on Mar 26, 2026.