Jason David Williams, CP61677162

NPI #1609508837 in Blaine, Washington

Provider Information

NPI Number: 1609508837
Entity Type: Individual
Name: Jason David Williams, CP61677162
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Addiction (Substance Use Disorder)
Credential: CP61677162
Enumeration Date: Jun 27, 2022
Last Updated: Apr 16, 2025

Practice Location

Address: 8115 BIRCH BAY SQUARE ST STE 138
City: Blaine
State: Washington
ZIP Code: 98230-9805
Phone: (360) 676-2188

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X	Primary

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