LOLA JETT SUDP NPI 1629463617

NPI Information

  • NPI: 1629463617
  • Provider Name: LOLA JETT, SUDP
  • Classification: Counselor - 101YA0400X
  • Specialization: Addiction (Substance Use Disorder)
  • Entity Type: Individual
  • Address: 16715 AURORA AVE N # 102
    SHORELINE, WA
    ZIP 98133
  • Phone: (206) 546-9766

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NPI Details

Lola Jett, SUDP is an addiction (substance use disorder) counselor in Shoreline, WA. Lola Jett, SUDP NPI is 1629463617. 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:

16715 AURORA AVE N # 102
SHORELINE, WA
ZIP 98133-310
Phone: (206) 546-9766

The enumeration date for this NPI number is 4/6/2015 and was last updated on 10/22/2021.

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)60763564WASHINGTONNo
2101YA0400XCounselorAddiction (Substance Use Disorder)CP60763564WASHINGTONNo
3101YA0400XCounselorAddiction (Substance Use Disorder)CO 60521530WASHINGTONYes

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: 11/21/2025

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