SearchWashingtonCounselor

Jared Detrolio

NPI 1982170122 · on the registry since 2018

Practice

Address
840 E Plum St
Moses Lake, WA 98837
Phone
(509) 765-9239
Fax
(509) 765-4124
Organisation at this address
County Of Grant
Inferred from a shared address, not stated in the registry.
Clinicians at this address
187

Registry record

Primary taxonomy
Counselor
101Y00000X
Licence states on file
WA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2018-10-15

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Washington