JAY THIELEN

SPOKANE, WA
NPI1609739416
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  C070050489)
Enumeration Date2025-12-08
Last Update Date2025-12-08
Business Address
JAY THIELEN SUDP
960 E 3RD AVE
SPOKANE, WA 99202-2241
Phone number: 509-919-3362
Mailing Address
JAY THIELEN SUDP
1723 N NORMANDIE ST
SPOKANE, WA 99205-4853
Phone number: 509-919-3362
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