Individual
MARK ALAN JEWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSW, CADC-II, CDP
Contact information
Practice address
528 208TH AVE NE, SAMMAMISH, WA 98074-6936
(425) 761-7321
Mailing address
528 208TH AVE NE, SAMMAMISH, WA 98074-6936
(425) 761-7321
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
A8499705
CA
Other
Enumeration date
10/25/2020
Last updated
10/25/2020
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