Healthcare Provider Details

I. General information

NPI: 1306613807
Provider Name (Legal Business Name): JERICHO CONSULTING SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 12/11/2023
Certification Date: 12/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1314 N 16TH AVE
YAKIMA WA
98902-1354
US

IV. Provider business mailing address

16530 AHTANUM RD
YAKIMA WA
98903-9760
US

V. Phone/Fax

Practice location:
  • Phone: 509-949-7188
  • Fax:
Mailing address:
  • Phone: 509-949-7188
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code235Z00000X
TaxonomySpeech-Language Pathologist
License Number
License Number StateNULL
# 4
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL
# 5
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: MR. JACOB ANTHONY LAMARCHE
Title or Position: CEO/ OWNER
Credential: NA
Phone: 509-949-7188