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Individual

LOLA JETT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
SUDP

Contact information

Practice address
16715 AURORA AVE N # 102, SHORELINE, WA 98133-5310
(206) 546-9766
Mailing address
2610 WETMORE AVE, EVERETT, WA 98201-2927
(425) 258-5270

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
60763564
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60521530
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60763564
WA

Other

Enumeration date
04/06/2015
Last updated
10/22/2021
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