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Miss Jessica Sue Rose Dillman, CO60579677
Addiction (Substance Use Disorder) Counselor in Lakewood, Washington
NPI 1174001341

Jessica Sue Rose Dillman is an Addiction (Substance Use Disorder) Counselor based in Puyallup, WA and is specialized in Addiction (Substance Use Disorder). Jessica Sue Rose Dillman practices in Lakewood, WA and has the professional credentials of CO60579677. The NPI Number for Jessica Sue Rose Dillman is 1174001341 and holds a License No. 80-0461504 (Washington).

The current practice location address for Jessica Sue Rose Dillman is 9720 S Tacoma Way, Lakewood, WA and can be reached out via phone at 253-503-3666 and via fax at 253-302-8493.

Location: 9720 S Tacoma Way, Lakewood, WA, 98374-1109
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Provider Profile Details
NPI Number
1174001341
Provider Name
Jessica Sue Rose Dillman
Credential
CO60579677
Provider Entity Type
Individual
Gender
Female
Address
9720 S Tacoma Way, Lakewood, WA, 98374-1109
Phone Number
253-503-3666
Fax Number
253-302-8493
Provider Enumeration Date
07/31/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
80-0461504 05 WA
institution
Provider Business Practice Location Address Details
Address
9720 S Tacoma Way
City
State
Zip
98499-4456
Phone Number
253-503-3666
Fax Number
253-302-8493
person
Provider Business Mailing Address Details
Address
9720 S Tacoma Way
City
State
Zip
98499-4456
Phone Number
253-503-3666
Fax Number
253-302-8493
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
80-0461504 (Washington)
Definition
Definition to come...
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