Individual
JONATHAN MICAH DAMBACHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP-T
Contact information
Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5731
(253) 999-5740
Mailing address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5731
(253) 999-5740
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61632144
WA
Other
Enumeration date
12/12/2024
Last updated
12/12/2024
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