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

Jay Thielen Jr., SUDP

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1609739416

Jay Thielen Jr., SUDP is an Addiction (Substance Use Disorder) Counselor in Spokane, Washington. Licensed in Washington. Registered with an NPI since 2025.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

960 E 3rd Ave
Spokane, WA 99202-2241
Phone: (509) 919-3362
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 C070050489 (WA)

Record details

NPI number1609739416
Entity typeIndividual (Type 1)
GenderMale
Credentials SUDP
Sole proprietorNo
NPI enumeratedDecember 8, 2025
Last updated in NPPESDecember 8, 2025
Certification dateDecember 8, 2025

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