JESSICA DARLENE VERBOOMEN
NPI 1942500806
Counselor - Addiction (Substance Use Disorder) in Aberdeen, WA
Active since October 26, 2010
About Jessica Darlene Verboomen NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JESSICA DARLENE VERBOOMEN (NPI 1942500806) is an individual addiction (substance use disorder) provider in Aberdeen, Washington, licensed in Washington (CP60145201) and active in the NPI registry since October 2010.
NPPES Registry Identity
NPI1942500806
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameJESSICA DARLENE VERBOOMEN
Location Address1813 SUMNER AVEAberdeen, WA 98520-4600
Mailing AddressPo Box 34703Seattle, WA 98124-1703 · (206) 764-3335 · Fax (206) 764-0489
Phone(360) 538-1293
Fax(360) 538-2788
Sole ProprietorNo
Enumeration DateOctober 26, 2010
✔ NPI 1942500806 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 · CP60145201
1813 SUMNER AVE, Aberdeen, WA 98520
Other Names 1
Former Name (1)Jessica Darlene Anderson
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.
Counselor (Addiction (Substance Use Disorder))
1813 SUMNER AVE
ABERDEEN, WA 98520
ABERDEEN, WA 98520
Counselor (Addiction (Substance Use Disorder))
1813 SUMNER AVE
ABERDEEN, WA 98520
ABERDEEN, WA 98520
Clinic/Center (Federally Qualified Health Center (FQHC))
1813 SUMNER AVE
ABERDEEN, WA 98520
ABERDEEN, WA 98520
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1942500806, enumerated as an "individual" on October 26, 2010.
The provider is located at 1813 SUMNER AVE ABERDEEN, WA 98520 and the phone number is (360) 538-1293.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).