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1760953855
JACKIELYN T JONES
PORT ORCHARD, WA
NPI
1760953855
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA CP60640271)
Enumeration Date
2018-12-16
Last Update Date
2018-12-16
Business Address
JACKIELYN T JONES CDP
614 DIVISION ST # 19
PORT ORCHARD, WA 98366-4614
Phone number: 360-434-8548
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Mailing Address
JACKIELYN T JONES CDP
614 DIVISION ST # 19
PORT ORCHARD, WA 98366-4614
Phone number: 360-434-8548
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