Individual
JENNIFER MARKHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDPT
Contact information
Practice address
3320 AUBURN WAY N, AUBURN, WA 98002-1805
(253) 999-5750
Mailing address
1729 S 82ND ST APT 7, TACOMA, WA 98408-1069
(253) 331-6496
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60993912
WA
Other
Enumeration date
12/03/2019
Last updated
12/03/2019
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