Individual provider · Type 1 NPI
Jessie Jade Paque
Addiction (Substance Use Disorder) Counselor · Clallam Bay, WA
NPI number
1972804441
Active
Practice location
24373 Highway 112 Ste 2
Clallam Bay, WA 98326-9606
Mailing address
1026 East First Street, Suite 2
Port Angeles, WA 98362
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1972804441
Jessie Jade Paque's National Provider Identifier is 1972804441, issued on Nov 15, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Clallam Bay, WA. The record was last updated on May 8, 2023.