Individual
TINA MARIE JESSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1516 S 11TH ST, TACOMA, WA 98405-3332
(253) 396-1634
(253) 396-1663
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-8005
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60089496
WA
Other
Enumeration date
01/18/2013
Last updated
01/18/2013
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