Individual
JANA RICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
1014 BAY ST, SUITE 24, PORT ORCHARD, WA 98366-5242
(360) 602-0022
Mailing address
P.O. BOX 6059, 6059 NE MIDLE, SUQUAMISH, WA 98392
(360) 265-6852
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60389684
WA
Other
Enumeration date
05/22/2014
Last updated
05/22/2014
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