Individual
JAN LEE TRIMBLE KRILEVICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
2601 SUMMIT AVE, EVERETT, WA 98201-3309
(425) 322-0810
(425) 339-2601
Mailing address
6305 189TH PL SW, LYNNWOOD, WA 98036-5134
(425) 599-7740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60781160
WA
Other
Enumeration date
01/30/2018
Last updated
01/30/2018
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