| Jeremy Houtsma Counseling Llc | |
|
601 Main St Ste 309 Vancouver WA 98660-3404 | |
| (503) 567-2689 | |
| Not Available |
| Full Name | Jeremy Houtsma Counseling Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 601 Main St Ste 309, Vancouver, Washington |
| Authorized Official Name and Position | Jeremy Houtsma (OWNER) |
| Authorized Official Contact | 2016380704 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jeremy Houtsma Counseling Llc 13654 Se Bush St Portland OR 97236-2936 Ph: (201) 638-0704 | Jeremy Houtsma Counseling Llc 601 Main St Ste 309 Vancouver WA 98660-3404 Ph: (503) 567-2689 |
| NPI Number | 1922632900 |
|---|---|
| Provider Enumeration Date | 02/27/2020 |
| Last Update Date | 02/27/2020 |
| Certification Date | 02/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922632900 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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