Individual
MS. JAIMIE ALICE STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA,CDP
Contact information
Practice address
10828 GRAVELLY LAKE DR SW STE 204, LAKEWOOD, WA 98499-1346
(253) 473-7474
(253) 474-9724
Mailing address
PO BOX 203, ROY, WA 98580-0203
(253) 592-8140
(253) 474-9724
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60167007
WA
Other
Enumeration date
11/02/2010
Last updated
11/02/2010
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