Individual
JESSICA SANTANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Mailing address
325 E PIONEER, PUYALLUP, WA 98372-3265
(253) 697-8400
(253) 697-3730
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60636214
WA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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