Individual provider · Type 1 NPI

Bryanna Marie Jellum, SUDP

Addiction (Substance Use Disorder) Counselor · Longview, WA

NPI number 1760955272 Active

Practice location

1302 Commerce Ave
Longview, WA 98632-3096

Call (360) 423-2806 Map

Fax (360) 423-5128

Mailing address

58646 Mcnulty Way
St. Helens, OR 97051-6210

Other practice locations

  • 58646 Mcnulty Way, St. Helens, OR 97051-6210 · (503) 397-5211

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X26-R-30 (OR)
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X60279397 (WA)
Mental Health Counselor 101YM0800X70177236 (WA)

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

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About NPI 1760955272

Bryanna Marie Jellum, SUDP's National Provider Identifier is 1760955272, issued on Jan 7, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Longview, WA. The record was last updated on Oct 26, 2026.