| Jet Spectrum Services Llc | |
|
16427 82nd Ave E Puyallup WA 98375-6825 | |
| (732) 664-0577 | |
| Not Available |
| Full Name | Jet Spectrum Services Llc |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 16427 82nd Ave E, Puyallup, Washington |
| Authorized Official Name and Position | Jillian Thiel (BOARD CERTIFIED BEHAVIOR ANALYST) |
| Authorized Official Contact | 7326640577 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jet Spectrum Services Llc 16427 82nd Ave E Puyallup WA 98375-6825 Ph: (732) 664-0577 | Jet Spectrum Services Llc 16427 82nd Ave E Puyallup WA 98375-6825 Ph: (732) 664-0577 |
| NPI Number | 1598552580 |
|---|---|
| Provider Enumeration Date | 04/22/2025 |
| Last Update Date | 04/22/2025 |
| Certification Date | 04/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598552580 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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