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Individual

JESSICA JEAN GAYLE-THOMAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 255-0856
Mailing address
515 3RD AVE, SEATTLE, WA 98104-2304
(206) 255-0856

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
101YA0400X
Addiction (Substance Use Disorder) Counselor
R1418710221
CA

Other

Enumeration date
05/11/2017
Last updated
03/21/2023
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