person
Ms. Jetta Kimberly Luciano, CDP
Addiction (Substance Use Disorder) Counselor in Vancouver, Washington
NPI 1306073515

Jetta Kimberly Luciano is an Addiction (Substance Use Disorder) Counselor based in Vancouver, WA and is specialized in Addiction (Substance Use Disorder). Jetta Kimberly Luciano practices in Vancouver, WA and has the professional credentials of CDP. The NPI Number for Jetta Kimberly Luciano is 1306073515 and holds a License No. CP 00004432 (Washington).

The current practice location address for Jetta Kimberly Luciano is 6926 E Fourth Plain Blvd, Vancouver, WA and can be reached out via phone at 360-993-3000 and via fax at 360-737-3451.

Location: 6926 E Fourth Plain Blvd, Vancouver, WA, 98666-1337
person
Provider Profile Details
NPI Number
1306073515
Provider Name
Jetta Kimberly Luciano
Credential
CDP
Provider Entity Type
Individual
Gender
Female
Address
6926 E Fourth Plain Blvd, Vancouver, WA, 98666-1337
Phone Number
360-993-3000
Fax Number
360-737-3451
Provider Enumeration Date
06/15/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
6926 E Fourth Plain Blvd
City
State
Zip
98661-7369
Phone Number
360-993-3000
Fax Number
360-737-3451
person
Provider Business Mailing Address Details
Address
6926 E Fourth Plain Blvd
City
State
Zip
98661-7369
Phone Number
360-993-3000
Fax Number
360-737-3451
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP 00004432 (Washington)
Definition
Definition to come...
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