Individual provider · Type 1 NPI

Jessica Sue Rose Dillman, CO60579677

Addiction (Substance Use Disorder) Counselor · Lakewood, WA

NPI number 1174001341 Active

Practice location

9720 S Tacoma Way
Lakewood, WA 98499-4456

Fax (253) 302-8493

Mailing address

3800 3rd St SE
Puyallup, WA 98374-1109

Other practice locations

  • 3800 3rd St SE, Puyallup, WA 98374-1109 · (253) 200-0300

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X80-0461504 (WA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174001341

Jessica Sue Rose Dillman, CO60579677's National Provider Identifier is 1174001341, issued on Jul 31, 2018. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Lakewood, WA. The record was last updated on Jul 31, 2018.