Provider Demographics
NPI:1013144500
Name:MEYER, JEANNE LEIGH (LMHC, CDP, LPC, MAC)
Entity type:Individual
Prefix:MS
First Name:JEANNE
Middle Name:LEIGH
Last Name:MEYER
Suffix:
Gender:F
Credentials:LMHC, CDP, LPC, MAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6108 NE HIGHWAY 99
Mailing Address - Street 2:SUITE 102
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98665-8751
Mailing Address - Country:US
Mailing Address - Phone:360-949-2524
Mailing Address - Fax:888-972-1184
Practice Address - Street 1:6108 NE HIGHWAY 99
Practice Address - Street 2:SUITE 102
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98665-8751
Practice Address - Country:US
Practice Address - Phone:360-949-2524
Practice Address - Fax:888-972-1184
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-11
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00004617101YA0400X
WALH00008054101YM0800X
ORC0938101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)