Individual
JAMAR GLENN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
841 CENTRAL AVE N # C212, KENT, WA 98032-2016
(253) 507-5334
Mailing address
4301 S PINE ST STE 92, TACOMA, WA 98409-7259
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61653851
WA
Other
Enumeration date
03/19/2025
Last updated
03/19/2025
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