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Jacqueline Anderson

Counselor, Addiction (Substance Use Disorder) in Sedro Woolley, WA. Individual provider (NPI-1).

NPI number1154045136
StatusActive
Last updated in NPPESOct 3, 2022

Details

NPI
1154045136
Entity type
Individual (NPI-1)
Name
Jacqueline Anderson
Sex
Female
Sole proprietor
No
Enumeration date
Oct 3, 2022
Certification date
Oct 3, 2022
Last updated
Oct 3, 2022

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

1960 Thompson Dr
Sedro Woolley, WA 98284-5007

Phone 360-856-3186

Mailing address

7440 W Marginal Way S
Seattle, WA 98108-4141

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