Individual provider · Type 1 NPI

Tina Marie Jesse

Addiction (Substance Use Disorder) Counselor · Tacoma, WA

NPI number 1972841302 Active

Practice location

1516 S 11th St
Tacoma, WA 98405-3332

Call (253) 396-1634 Map

Fax (253) 396-1663

Mailing address

PO Box 34703
Seattle, WA 98124-1703

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP60089496 (WA)

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

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About NPI 1972841302

Tina Marie Jesse's National Provider Identifier is 1972841302, issued on Jan 18, 2013. 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 Jan 18, 2013.