Most Relevant Information
Provider Data
NPI Number: | 1003567298 |
Provider Name: | DIAMOND JONES BS |
Entity Type: | Individual |
Taxonomy Code: | 101Y00000X |
Specialty: | Counselor |
License Number: | CG61243789 |
Most Important Dates
Enumeration Date: | 01/10/2022 |
Last Updated: | 01/10/2022 |
Provider Practice Location
6221 NE FOURTH PLAIN BLVD
VANCOUVER
WA
986617206
Practice Location Phone/Fax
Phone: | 3608310908 |
Fax: |
Provider Mailing Location
902 N PARKWAY AVE
BATTLE GROUND
WA
986048298
Provider Mailing Phone/Fax
Phone: | 3609911785 |
Fax: |