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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1629527718

Jeanie Nicole Wadiak, CDPT, MHCA is an Addiction (Substance Use Disorder) Counselor in Vancouver, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2016
Specialties on file
3
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Practice location Address checks out

2924 Falk Rd
Vancouver, WA 98661-5604
Phone: (360) 750-9588
Fax: (360) 750-9718
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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 CP60532732 (WA)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence CO60404199 (WA)
Mental Health Counselor Taxonomy 101YM0800X · Licence MC60521887 (WA)

Record details

NPI number1629527718
Entity typeIndividual (Type 1)
GenderFemale
Credentials CDPT , MHCA
Sole proprietorYes
NPI enumeratedSeptember 29, 2016
Last updated in NPPESSeptember 29, 2016

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