JACK MARIS
NPI 1467668392
Counselor - Mental Health in Yakima, WA
Active since May 15, 2007
About Jack Maris NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JACK MARIS (NPI 1467668392) is an individual mental health provider in Yakima, Washington and active in the NPI registry since May 2007.
NPPES Registry Identity
NPI1467668392
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameJACK MARIS
Location Address402 S 4TH AVEYakima, WA 98902-3546
Mailing AddressPo Box 959Yakima, WA 98907-0959
Phone(509) 575-4084
Sole ProprietorNo
Enumeration DateMay 15, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1467668392 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
402 S 4TH AVE, Yakima, WA 98902
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1467668392, enumerated as an "individual" on May 15, 2007.
The provider is located at 402 S 4TH AVE YAKIMA, WA 98902 and the phone number is (509) 575-4084.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
