Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

MS. Jessica Don Marie Vandewater, CO61661625

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1366313827

MS. Jessica Don Marie Vandewater, CO61661625 is an Addiction (Substance Use Disorder) Counselor in Tacoma, Washington. Practices as a sole proprietor. Licensed in Washington.

Licensed in
WA
In the registry since
2025

Practice location Address checks out

12201 Pacific Ave S
Tacoma, WA 98444-5126
Phone: (253) 550-9058
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence CO61661625 (WA)

Record details

NPI number1366313827
Entity typeIndividual (Type 1)
GenderFemale
Credentials CO61661625
Sole proprietorYes
NPI enumeratedSeptember 16, 2025
Last updated in NPPESSeptember 16, 2025
Certification dateSeptember 16, 2025

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