Individual
ELISSA CHARLENE JULES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CP61224601
Contact information
Practice address
6330 31ST AVE NE STE 101, TULALIP, WA 98271-7423
(360) 716-2200
(360) 716-2211
Mailing address
6330 31ST AVE NE, TULALIP, WA 98271-7423
(360) 716-2200
(360) 716-2211
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60902535
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61224601
WA
Other
Enumeration date
06/04/2019
Last updated
02/08/2023
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