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NPI Code Detail

MEDICARE: JASON L NORRIS MA, MED, LMHC, CMHS

MEDICARE: JASON L NORRIS MA, MED, LMHC, CMHS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH60716409WA

General Provider Information

NPI Number : 1730449687
Entity Type Code : Individual
Provider Name (Legal Business Name) : JASON L NORRIS MA, MED, LMHC, CMHS
Provider Business Mailing Address
First Line : 1498 SE TECH CENTER PL STE 300
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-5509
Country : US
Telephone Number : 360-619-2226
Fax Number : 360-326-9691
Provider Business Practice Location Address
First Line : 1498 SE TECH CENTER PL STE 180
Second Line :
City : VANCOUVER
State : WA
Zip : 98683-5518
Country : US
Telephone Number : 360-200-8670
Fax Number : 360-838-0413
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/25/2012
Last Update Date : 02/08/2025

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