Healthcare Provider Details

I. General information

NPI: 1134043318
Provider Name (Legal Business Name): CEDARWOOD COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/08/2026
Last Update Date: 08/08/2026
Certification Date: 08/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1229 CORNWALL AVE STE 207B
BELLINGHAM WA
98225-5023
US

IV. Provider business mailing address

4951 CORONADO LN
BELLINGHAM WA
98229-2784
US

V. Phone/Fax

Practice location:
  • Phone: 360-305-6790
  • Fax:
Mailing address:
  • Phone: 360-305-6790
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: JAMIE ROSS
Title or Position: OWNER
Credential: LMHC
Phone: 360-305-6790