Individual
JAMIE TOLLIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
920 BELLEVUE ST SE, WASHINGTON, DC 20032-6030
(202) 562-4939
Mailing address
1320 GOOD HOPE RD SE, WASHINGTON, DC 20020-6912
(202) 610-1886
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CACII1141
DC
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
04/27/2020
Last updated
07/01/2024
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