Individual
JODY STILLWAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2510 BIRCHFIELD RD, UNIT 1, YAKIMA, WA 98901-9534
(509) 494-9170
Mailing address
2510 BIRCHFIELD RD, UNIT 1, YAKIMA, WA 98901-9534
(509) 494-9170
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003749
WA
Other
Enumeration date
01/10/2007
Last updated
02/03/2010
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