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Individual

JILL A WEINSTEIN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
1715 114TH AVE SE STE 204, BELLEVUE, WA 98004-6906
(425) 454-0839
(425) 952-0120
Mailing address
1715 114TH AVE SE STE 204, BELLEVUE, WA 98004-6906
(425) 454-0839
(425) 952-0120

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60543051
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
037201
DBHR CERTIFICATION
WA
Enumeration date
07/07/2017
Last updated
07/21/2022
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