MS. Jetta Kimberly Luciano, CDP
MS. Jetta Kimberly Luciano, CDP is an Addiction (Substance Use Disorder) Counselor in Vancouver, Washington. Licensed in Washington. Registered with an NPI since 2009.
- Licensed in
- WA
- In the registry since
- 2009
Practice location Address checks out
6926 E Fourth Plain Blvd Ste #100Vancouver, WA 98661-7369
Phone: (360) 993-3000
Fax: (360) 737-3451
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence CP 00004432 (WA) |
|---|
Record details
| NPI number | 1306073515 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | CDP |
| Sole proprietor | No |
| NPI enumerated | June 15, 2009 |
| Last updated in NPPES | July 24, 2013 |
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