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Individual

MS. JESSIE JADE PAQUE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
24373 HIGHWAY 112 STE 2, CLALLAM BAY, WA 98326-9606
(360) 640-8127
Mailing address
1026 EAST FIRST STREET, SUITE 2, PORT ANGELES, WA 98362
(360) 452-4432

Taxonomy

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

Other

Enumeration date
11/15/2010
Last updated
05/08/2023
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