JENNIFER M WAKEMAN NCC LMHC SUDP NPI 1629130299

NPI Information

NPI: 1629130299
Provider Name: JENNIFER M WAKEMAN, NCC, LMHC, SUDP
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

PECOS Registration: Yes

Address:
12607 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684
Phone: (360) 896-4460
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Jennifer M Wakeman, NCC, LMHC, SUDP is an addiction (substance use disorder) counselor in Vancouver, WA. Jennifer M Wakeman, NCC, LMHC, SUDP NPI is 1629130299. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

12607 SE MILL PLAIN BLVD
VANCOUVER, WA
ZIP 98684
Phone: (360) 896-4460
Fax: (360) 896-4478

The NPI 1629130299 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 12/13/2006 and was last updated on 12/21/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	LH00009179	WASHINGTON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CP00006159	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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