Individual provider · Type 1 NPI

Jessica Larreinaga, CO60972165

Addiction (Substance Use Disorder) Counselor · Lakewood, WA

NPI number 1952923955 Active

Practice location

4928 109th St SW
Lakewood, WA 98499-3731

Call (253) 473-7474 Map

Fax (253) 474-9724

Mailing address

831 E 52nd St
Tacoma, WA 98404-2702

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCO609720165 (WA)

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

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About NPI 1952923955

Jessica Larreinaga, CO60972165's National Provider Identifier is 1952923955, issued on May 12, 2020. 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 May 12, 2020.