Jared Scott Detrolio
Counselor · Moses Lake, WA
Practice location
840 E Plum StMoses Lake, WA 98837-1874
- Phone
- (509) 765-9239
- Fax
- (509) 765-4124
NPI record
- NPI
- 1982170122
- Entity type
- Individual (Type 1)
- Enumeration date
- October 15, 2018
- Last updated
- October 15, 2018
- Sole proprietor
- No
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Counselor Primary | 101Y00000X |
CG60867653 | WA |
About Jared Detrolio
Jared Scott Detrolio is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 840 E Plum St, Moses Lake, WA 98837-1874. The NPI number 1982170122 was assigned on October 15, 2018 and the record was last updated on October 15, 2018.
Jared Detrolio lists a license in the registry: #CG60867653 (WA) for Counselor. License numbers are self-reported to NPPES; verify them with the state licensing board.
Frequently asked questions
What is the NPI number of Jared Scott Detrolio?
The NPI number is 1982170122.
What is the phone number of Jared Detrolio?
The phone number listed for the practice location is (509) 765-9239.
Where is Jared Detrolio located?
840 E Plum St, Moses Lake, WA 98837-1874.
What is the taxonomy code for Jared Detrolio?
The primary taxonomy code is 101Y00000X – Counselor.
Is this information correct?
All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.
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