Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACK ALLEN WESSON, CDP
Active Sole ProprietorJACK ALLEN WESSON, CDP is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FEDERAL WAY, Washington. NPI 1275008377 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · FEDERAL WAY, WA
Registration Details
- NPI Number
- 1275008377
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 4, 2018 (7.8333884938864 yrs)
- Last Updated
- Oct 4, 2018
- License
-
CP60456933 (WA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
30620 PACIFIC HWY S STE 107FEDERAL WAY, WA, 980034888Browse WA providers · Browse ZIP 98003
- Phone
- 2539417555
- Fax
- 2539410652
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FEDERAL WAY, WA
| Name | Credential | NPI |
|---|---|---|
| ELLA G MCHENRY | CDP | 1114119948 |
| MR. RAYMOND A. STEWART | CDP | 1609056464 |
| CYNTHIA K MATTHEW | CDSIII | 1619147154 |
| MR. CHARLES ADREN CALDWELL SR. | CDP | 1982960688 |
| MR. EPHRAIM NGOZI AZUBUIKE | 00189274 | 1568724144 |
| JOSHUA SHEMON | — | 1891129318 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.