JERED JAMES CARTER

YAKIMA, WA
NPI1114405024
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP60983949)
Enumeration Date2018-08-02
Last Update Date2021-07-02
Business Address
JERED JAMES CARTER SUD
2280 SR 821
YAKIMA, WA 98901
Phone number: 509-457-0990
Mailing Address
JERED JAMES CARTER SUD
PO BOX 217
SELAH, WA 98942-0217
Phone number: 509-457-0990
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