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

Jc Ephraim Jr., CCC, SUDP, MHP, CAAL

Individual provider Mental Health Counselor · NPI 1497028823

Jc Ephraim Jr., CCC, SUDP, MHP, CAAL is a Mental Health Counselor in Renton, Washington. Works from 2 locations. Licensed in Washington.

Licensed in
WA
In the registry since
2012
Specialties on file
3

Practice location Address checks out

15 S Grady Way Ste 310
Renton, WA 98057-3215
Phone: (206) 726-0430
Show map & directions

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

Additional practice locations (1)

  • 15 S Grady Way Ste 241, Renton, WA 98057-3209 — (206) 650-4024

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CU61584983 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence CL60461451 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CP00001663 (WA)

Record details

NPI number1497028823
Entity typeIndividual (Type 1)
GenderMale
Credentials CCC , SUDP , MHP , CAAL
Sole proprietorNo
NPI enumeratedFebruary 15, 2012
Last updated in NPPESJuly 12, 2025
Certification dateJuly 12, 2025

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