Individual
JILLAYNE MACDONALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
12812 101ST AVENUE CT E, SUITE 202, PUYALLUP, WA 98373
(253) 864-4770
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO60585382
WA
Other
Enumeration date
09/03/2015
Last updated
05/29/2018
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