JETTA KIMBERLY LUCIANO

VANCOUVER, WA
NPI1306073515
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP 00004432)
Enumeration Date2009-06-15
Last Update Date2013-07-24
Business Address
Ms. JETTA KIMBERLY LUCIANO CDP
6926 E FOURTH PLAIN BLVD SUITE #100
VANCOUVER, WA 98661-7369
Phone number: 360-993-3000
Mailing Address
Ms. JETTA KIMBERLY LUCIANO CDP
PO BOX 1337
VANCOUVER, WA 98666-1337
Phone number: 360-993-3000
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