JESSE CONLEY

KELSO, WA
NPI1457129926
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: WA  CO61334546)
Enumeration Date2023-12-14
Last Update Date2023-12-14
Business Address
JESSE CONLEY SUDPT
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number: 360-644-1027
Mailing Address
JESSE CONLEY SUDPT
2216 SE 130TH AVE
VANCOUVER, WA 98683-6573
Phone number: 360-635-3867