Individual
MS. JENNIFER LYNNE GILLAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDP
Contact information
Practice address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
(360) 466-1024
Mailing address
17337 RESERVATION RD, LA CONNER, WA 98257-8802
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 60415312
WA
Other
Enumeration date
09/06/2016
Last updated
11/03/2022
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