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NPI Code Detail

MEDICARE: JAMIE LYNN ADAMS SUDP

MEDICARE: JAMIE LYNN ADAMS SUDP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor60887509WA

General Provider Information

NPI Number : 1033004619
Entity Type Code : Individual
Provider Name (Legal Business Name) : JAMIE LYNN ADAMS SUDP
Provider Business Mailing Address
First Line : 6330 31ST AVE NE STE 101
Second Line :
City : TULALIP
State : WA
Zip : 98271-7423
Country : US
Telephone Number : 425-330-1660
Fax Number :
Provider Business Practice Location Address
First Line : 6330 31ST AVE NE STE 191
Second Line :
City : TULALIP
State : WA
Zip : 98271-7423
Country : US
Telephone Number : 360-716-2200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/12/2025
Last Update Date : 06/27/2025

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Directions to “ JAMIE LYNN ADAMS SUDP” Practice Location

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