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1255043394
JILLIAN LAINE VISSCHER
VANCOUVER, WA
NPI
1255043394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
JILLIAN LAINE VISSCHER MHCA
3606 MAIN ST
VANCOUVER, WA 98663-2257
Phone number: 360-200-8670
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Mailing Address
JILLIAN LAINE VISSCHER MHCA
16301 SE VAN ZYL DR
DAMASCUS, OR 97089-8883
Phone number: 503-887-9210
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