Individual
JENNIFER PROIETTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
211 TAYLOR ST STE 20, PORT TOWNSEND, WA 98368-5756
(360) 385-1258
(360) 343-9093
Mailing address
211 TAYLOR ST STE 20, PORT TOWNSEND, WA 98368-5756
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
60806816
WASHINGTON STATE DOH
WA
Enumeration date
05/13/2019
Last updated
05/13/2019
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