Individual
JULIE ANN PLUMB
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
729 PROSPECT ST STE 200, PORT ORCHARD, WA 98366-5330
(360) 895-1307
(360) 895-4805
Mailing address
729 PROSPECT ST STE 200, PORT ORCHARD, WA 98366-5330
(360) 895-1307
(360) 895-4805
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CO60655804
CHEMICAL DEPENDENCY COUNSELOR / AFFILIATED COUNSELOR
WA
Enumeration date
10/03/2018
Last updated
10/03/2018
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