JESSICA RAY PORTER

PUYALLUP, WA
NPI1457828774
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP61010502)
Enumeration Date2018-10-24
Last Update Date2019-11-20
Business Address
JESSICA RAY PORTER
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400
Mailing Address
JESSICA RAY PORTER
325 E PIONEER
PUYALLUP, WA 98372-3265
Phone number: 253-697-8400