Individual
MR. JEREMIAH THUNDERWALKER SAUCIER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
8717 S HOSMER ST, TACOMA, WA 98444-1819
(253) 473-7474
Mailing address
8717 S HOSMER ST, TACOMA, WA 98444-1819
(253) 473-7474
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60117863
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60117863
WASHINGTON STATE DEPARTMENT OF HEALTH
WA
01
—
RC60098609
WA STATE DEPARTMENT OF HEALTH
WA
Enumeration date
11/06/2009
Last updated
04/12/2022
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