MISS JESSICA SUE ROSE DILLMAN CO60579677 NPI 1174001341

NPI Information

  • NPI: 1174001341
  • Provider Name: MISS JESSICA SUE ROSE DILLMAN, CO60579677
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 9720 S TACOMA WAY
    LAKEWOOD, WA
    ZIP 98499
  • Phone: (253) 503-3666

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NPI Details

MISS Jessica Sue Rose Dillman, CO60579677 is an addiction (substance use disorder) counselor in Lakewood, WA. MISS Jessica Sue Rose Dillman, CO60579677 NPI is 1174001341. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

9720 S TACOMA WAY
LAKEWOOD, WA
ZIP 98499-456
Phone: (253) 503-3666
Fax: (253) 302-8493

The enumeration date for this NPI number is 7/31/2018 and was last updated on 7/31/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YA0400XCounselorAddiction (Substance Use Disorder)80-0461504WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
180-0461504MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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