Mr Jeremiah Shane Dunlap, SUDP - Counselor in Lakewood, WA

Mr Jeremiah Shane Dunlap, SUDP is a Counselor - Addiction (substance Use Disorder) based in Lakewood, Washington. Mr Jeremiah Shane Dunlap is licensed to practice in Washington (license number CP60556714) and his current practice location is 4909 108th St Sw, Lakewood, Washington. He can be reached at his office (for appointments etc.) via phone at (253) 544-4772.

NPI number for Mr Jeremiah Shane Dunlap is 1336515964 and his current mailing address is 4909 108th St Sw, Lakewood, Washington. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1336515964.

Contact Information

Mr Jeremiah Shane Dunlap, SUDP
4909 108th St Sw,
Lakewood, WA 98499-3724
(253) 544-4772
(253) 276-0042

Map and Direction


Healthcare Provider's Profile

Full NameMr Jeremiah Shane Dunlap
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location4909 108th St Sw, Lakewood, Washington
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1336515964
  • Provider Enumeration Date: 08/18/2015
  • Last Update Date: 01/24/2023

Medical Identifiers

Medical identifiers for Mr Jeremiah Shane Dunlap such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1336515964NPI-NPPES
CP60556714OtherWACHEMICAL DEPENDANCY PROFESSIONAL
41614MedicaidWA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health CP60556714 (Washington)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) CP60556714 (Washington)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Jeremiah Shane Dunlap is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Jeremiah Shane Dunlap, SUDP
4909 108th St Sw,
Lakewood, WA 98499-3724

Ph: (253) 544-4772
Mr Jeremiah Shane Dunlap, SUDP
4909 108th St Sw,
Lakewood, WA 98499-3724

Ph: (253) 544-4772

Reviews and Comments


Counselor in Lakewood, WA

Claudia Hockett, MA
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Medicare: Not Enrolled in Medicare
Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499
Phone: 253-620-5042    
Ms. Tammy Marie Stewart, BA
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Medicare: Not Enrolled in Medicare
Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499
Phone: 253-620-5833    Fax: 253-620-5789
Ms. Sabrina Lavonne Thompson, AAS
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Medicare: Not Enrolled in Medicare
Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499
Phone: 253-620-5015    Fax: 253-620-5831
Alida Rothgeb,
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Medicare: Not Enrolled in Medicare
Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499
Phone: 253-620-7020    
Samantha Smith, BA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499
Phone: 253-620-5015    
Ashley Pettis, BS
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499
Phone: 253-620-5015    
Tracey Wilber, BA
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 9330 59th Ave Sw, Lakewood, WA 98499
Phone: 253-620-5015    

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