Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JASON RAYDR-SCOTT GOMEZ, SUDP
ActiveAddiction (Substance Use Disorder) Counselor · KINGSTON, WA
Registration Details
- NPI Number
- 1336603026
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 26, 2019 (7.2688187528273 yrs)
- Last Updated
- Aug 30, 2022
- Licenses
-
60777486 (WA)61031153 (WA)
Practice Information
- Address
-
31912 LITTLE BOSTON RD NEKINGSTON, WA, 983469700Browse WA providers · Browse ZIP 98346
- Phone
- 3602976329
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
- Additional Specialty
- Addiction (Substance Use Disorder) Counselor
Other Addiction (Substance Use Disorder) Counselor Providers in KINGSTON, WA
| Name | Credential | NPI |
|---|---|---|
| TINA L WHITNEY | RC | 1487765368 |
| MS. COURTNEY ELIZABETH OLIVER | CDP LMHC | 1992973754 |
| MRS. DEANNA GRIFFETH | RC, CDP | 1417114869 |
| REBA LEE HARRIS | CO60389581 | 1235641705 |
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.