Decianne, Jamillah

Decianne, Jamillah is an individual health care provider with primary practice located at 884 W Park Ave , Port Townsend WA 98368-2273. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Other Service Providers / Peer Specialist. Other Service Providers / Peer Specialist is her primary health care specialty. Decianne, Jamillah can be contacted via phone (360) 385-0321.

Contact Information

Primary practice address
884 W Park Ave Port Townsend WA 98368-2273
Phone: (360) 385-0321
Fax: (360) 385-3944
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Other Service Providers / Peer Specialist 175T00000X

Profile Details

NPI number 1891464574
LBN Legal business name Decianne, Jamillah
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 7th, 2021
Last updated Jan 6th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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