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JACK ALLEN WESSON CDP
NPI 1275008377
Counselor - Addiction (Substance Use Disorder) in Federal Way, WA

Active since October 04, 2018
30620 PACIFIC HWY S STE 107, FEDERAL WAY, WA 98003(253) 941-7555(253) 941-0652 Get Directions Write a Review

NPPES record last updated: October 4, 2018. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jack Allen Wesson Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK ALLEN WESSON CDP (NPI 1275008377) is an individual addiction (substance use disorder) provider in Federal Way, Washington, licensed in Washington (CP60456933) and active in the NPI registry since October 2018.

NPPES Registry Identity

NPI1275008377
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJACK ALLEN WESSONCredential: CDP
Location Address30620 PACIFIC HWY S STE 107Federal Way, WA 98003-4888
Mailing Address30620 Pacific Hwy S Ste 107Federal Way, WA 98003-4888 · (253) 941-7555 · Fax (253) 941-0652
Phone(253) 941-7555
Fax(253) 941-0652
Sole ProprietorYes
Enumeration DateOctober 4, 2018
✔ NPI 1275008377 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP60456933
30620 PACIFIC HWY S STE 107, Federal Way, WA 98003
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Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ANNE ELIZABETH NEARN CDP
Counselor (Addiction (Substance Use Disorder))
30620 PACIFIC HWY S STE 107
FEDERAL WAY, WA 98003
King County (253) 941-7555
EILEEN GWENDOLYN PETRIE CDPT
Student in an Organized Health Care Education/Training Program
30620 PACIFIC HWY S STE 107
FEDERAL WAY, WA 98003
King County (253) 941-7555
MARYANN ELIZABETH IVERSEN SUDPT
Student in an Organized Health Care Education/Training Program
30620 PACIFIC HWY S STE 107
FEDERAL WAY, WA 98003
King County (253) 941-7555
CRISTY JUNE MUNOZ CDP
Counselor (Addiction (Substance Use Disorder))
30620 PACIFIC HWY S STE 107
FEDERAL WAY, WA 98003
King County (253) 941-7555
GINA RAE MARTINEZ CDP
Counselor (Addiction (Substance Use Disorder))
30620 PACIFIC HWY S STE 107
FEDERAL WAY, WA 98003
King County (253) 941-7555
RAYMOND GATES
Counselor (Addiction (Substance Use Disorder))
30620 PACIFIC HWY S STE 107
FEDERAL WAY, WA 98003
King County (253) 941-7555

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Wesson's NPI number?

The NPI number for Jack Wesson is 1275008377. It was assigned to this individual provider in the NPPES registry on October 4, 2018.

Where is Jack Wesson located?

Jack Wesson practices at 30620 Pacific Hwy S Ste 107, Federal Way, WA 98003. The listed phone number is (253) 941-7555.

What is Jack Wesson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jack Wesson was last updated on October 4, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.