Individual
JILL MARIE OVERTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2601 SUMMIT AVE, EVERETT, WA 98201-3309
(425) 322-0813
(425) 339-2601
Mailing address
2601 SUMMIT AVE, EVERETT, WA 98201-3309
(425) 322-0813
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00002305
WA
Other
Enumeration date
06/29/2020
Last updated
06/29/2020
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