NPI 1053814376

Jessica C Madison

Practitioner Mental Health Counselor Hoquiam, WA

Practice location

Address: 615 8th St, Hoquiam, WA 98550-3522
Phone: (360) 532-4357
Fax: (360) 538-0124
Mailing address: 921 14th Ave, Longview, WA 98632-2316

Registered specialties

Mental Health Counselor Primary

Behavioral Health & Social Service Providers Taxonomy 101YM0800X Licence CG60808841 (WA)

Other Counselor providers in Washington →

Registry record

NPI: 1053814376
Entity type: Individual
Sex (as registered): Female
NPI issued: 13 Mar 2018
Record last updated: 13 Mar 2018

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.