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

Jason Immanuel Brandis, SUDPT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1477161552

Jason Immanuel Brandis, SUDPT is an Addiction (Substance Use Disorder) Counselor in Chehalis, Washington. Licensed in Washington. Registered with an NPI since 2020.

Licensed in
WA
In the registry since
2020

Practice location Address checks out

1956 NE Kresky Ave
Chehalis, WA 98532-2307
Phone: (360) 740-4380
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 61077105 (WA)

Record details

NPI number1477161552
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDPT
Sole proprietorNo
NPI enumeratedJuly 15, 2020
Last updated in NPPESFebruary 24, 2022
Certification dateFebruary 24, 2022

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