Individual provider · Type 1 NPI

Jessica Don Marie Vandewater, CO61661625

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1366313827 Active

Practice location

12201 Pacific Ave S
Tacoma, WA 98444-5126

Call (253) 550-9058 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO61661625 (WA)

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

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About NPI 1366313827

Jessica Don Marie Vandewater, CO61661625's National Provider Identifier is 1366313827, issued on Sep 16, 2025. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tacoma, WA. The record was last updated on Sep 16, 2025.