Jonnathan Mark Crea
Counselor in Aberdeen, WA. Individual provider (NPI-1).
NPI number1245936764
StatusActive
Last updated in NPPESFeb 6, 2023
Details
- NPI
- 1245936764
- Entity type
- Individual (NPI-1)
- Name
- Jonnathan Mark Crea
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Feb 6, 2023
- Certification date
- Feb 6, 2023
- Last updated
- Feb 6, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101Y00000X | Counselor | – | – | Yes |
Practice location
2700 Simpson Ave Ste 101Aberdeen, WA 98520-4333
Phone 360-612-0012 · Fax 360-532-0670
Mailing address
Po Box 1847Longview, WA 98632-8140
Phone 360-423-0203 · Fax 360-577-0187
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