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

Jeremiah Shane Dunlap is an Addiction (Substance Use Disorder) Counselor based in Puyallup, WA and is specialized in Addiction (Substance Use Disorder). Jeremiah Shane Dunlap practices in Gig Harbor, 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 3214 50Th Street Ct Ste 103, Gig Harbor, WA and can be reached out via phone at 253-257-1770.

Location: 3214 50Th Street Ct Ste 103, Gig Harbor, WA, 98374-8854
person
Provider Profile Details
NPI Number
1336515964
Provider Name
Jeremiah Shane Dunlap
Credential
SUDP
Provider Entity Type
Individual
Gender
Male
Address
3214 50Th Street Ct Ste 103, Gig Harbor, WA, 98374-8854
Phone Number
253-257-1770
Fax Number
Provider Enumeration Date
08/18/2015
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
41614 05 WA
CP60556714 01 WA CHEMICAL DEPENDANCY PROFESSIONAL
institution
Provider Business Practice Location Address Details
Address
3214 50Th Street Ct Ste 103
City
State
Zip
98335-8589
Phone Number
253-257-1770
Fax Number
person
Provider Business Mailing Address Details
Address
3214 50Th Street Ct Ste 103
City
State
Zip
98335-8589
Phone Number
253-257-1770
Fax Number
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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