Most Relevant Information
Provider Data
| NPI Number: | 1003654765 |
| Provider Name: | JACOB LEE HAMMOND CMHC |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 07/17/2024 |
| Last Updated: | 07/17/2024 |
Provider Practice Location
1601 E FOURTH PLAIN BLVD
VANCOUVER
WA
986613713
Practice Location Phone/Fax
| Phone: | 3603978246 |
| Fax: |
Provider Mailing Location
16915 NE 40TH AVE
VANCOUVER
WA
986861809
Provider Mailing Phone/Fax
| Phone: | 3606052453 |
| Fax: |