Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Allen Wesson, CDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1275008377

Jack Allen Wesson, CDP is an Addiction (Substance Use Disorder) Counselor in Federal Way, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2018

Practice location Address checks out

30620 Pacific Hwy S Ste 107
Federal Way, WA 98003-4888
Phone: (253) 941-7555
Fax: (253) 941-0652
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CP60456933 (WA)

Record details

NPI number1275008377
Entity typeIndividual (Type 1)
GenderMale
Credentials CDP
Sole proprietorYes
NPI enumeratedOctober 4, 2018
Last updated in NPPESOctober 4, 2018
Mailing address30620 Pacific Hwy S Ste 107, Federal Way, WA 98003-4888

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