Individual provider · Type 1 NPI

Jeanie Nicole Wadiak, CDPT, MHCA

Addiction (Substance Use Disorder) Counselor · Vancouver, WA

NPI number 1629527718 Active

Practice location

2924 Falk Rd
Vancouver, WA 98661-5604

Fax (360) 750-9718

Mailing address

31208 NE 59th Ave
La Center, WA 98629-2304

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60532732 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400XCO60404199 (WA)
Mental Health Counselor 101YM0800XMC60521887 (WA)

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

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About NPI 1629527718

Jeanie Nicole Wadiak, CDPT, MHCA's National Provider Identifier is 1629527718, issued on Sep 29, 2016. 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 Sep 29, 2016.