Individual
ADRIANA DAWN JEWETT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
220 NE 136TH AVENURE, SUITE 220, VANCOUVER, WA 98686
(360) 472-3817
Mailing address
996 ROYAL MARCO WAY, MARCO ISLAND, FL 34145-1829
(360) 952-7060
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
01/22/2024
Last updated
03/05/2025
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