Individual provider · Type 1 NPI

Jake Alex Mehl, SUDP

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1750853057 Active

Practice location

2732 Grand Ave
Everett, WA 98201-3416

Mailing address

2732 Grand Avenue, Suite 101
Everett, WA 98201-3416

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400XNone listed
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X261QR0405X

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

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About NPI 1750853057

Jake Alex Mehl, SUDP's National Provider Identifier is 1750853057, issued on Dec 26, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Aug 30, 2023.