Individual
JENNIFER TARDIF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
12115 STATE AVE, F321, MARYSVILLE, WA 98271-8585
(425) 366-1790
Mailing address
12115 STATE AVE, F321, MARYSVILLE, WA 98271-8585
(425) 366-1790
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60580266
WA
Other
Enumeration date
10/09/2015
Last updated
10/09/2015
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