Individual
JILLIAN T FOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6867
(360) 464-6980
Mailing address
6005 TYEE DR SW, TUMWATER, WA 98512-7356
(360) 464-6867
(360) 464-6980
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO61351574
WA
Other
Enumeration date
02/16/2024
Last updated
02/16/2024
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