person
Mr. Jeremiah Shane Dunlap, SUDP
Addiction (Substance Use Disorder) Counselor in Lakewood, Washington
NPI 1336515964

Jeremiah Shane Dunlap is an Addiction (Substance Use Disorder) Counselor based in Lakewood, WA and is specialized in Addiction (Substance Use Disorder). Jeremiah Shane Dunlap practices in Lakewood, WA and has the professional credentials of SUDP. The NPI Number for Jeremiah Shane Dunlap is 1336515964 and holds a License No. CP60556714 (Washington).

The current practice location address for Jeremiah Shane Dunlap is 4909 108Th St Sw, Lakewood, WA and can be reached out via phone at 253-544-4772 and via fax at 253-276-0042.

Location: 4909 108Th St Sw, Lakewood, WA, 98499-3724
person
Provider Profile Details
NPI Number
1336515964
Provider Name
Jeremiah Shane Dunlap
Credential
SUDP
Provider Entity Type
Individual
Gender
Male
Address
4909 108Th St Sw, Lakewood, WA, 98499-3724
Phone Number
253-544-4772
Fax Number
253-276-0042
Provider Enumeration Date
08/18/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
CP60556714 01 WA CHEMICAL DEPENDANCY PROFESSIONAL
41614 05 WA
institution
Provider Business Practice Location Address Details
Address
4909 108Th St Sw
City
State
Zip
98499-3724
Phone Number
253-544-4772
Fax Number
253-276-0042
person
Provider Business Mailing Address Details
Address
4909 108Th St Sw
City
State
Zip
98499-3724
Phone Number
253-544-4772
Fax Number
253-276-0042
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP60556714 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CP60556714 (Washington)
Definition
Definition to come...
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