Jason Lee Earl

NPI #1205506243 in Centralia, Washington

Provider Information

NPI Number
1205506243
Entity Type
Individual
Name
Jason Lee Earl
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Counselor - Mental Health
Enumeration Date
Sep 20, 2021
Last Updated
Sep 20, 2021

Practice Location

Address
2428 W REYNOLDS AVE
ZIP Code
98531-4554
Phone
(360) 330-9044

Specialties & Taxonomy Codes

Specialty
Counselor - Mental HealthMental Health

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