Jamillah Decianne

NPI #1891464574 in Port Townsend, Washington

Provider Information

NPI Number: 1891464574
Entity Type: Individual
Name: Jamillah Decianne
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Peer Specialist
Enumeration Date: Sep 7, 2021
Last Updated: Jan 6, 2022

Practice Location

Address: 884 W PARK AVE
City: Port Townsend
State: Washington
ZIP Code: 98368-2273
Phone: (360) 385-0321

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Peer Specialist	175T00000X	Primary

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