Mr. Jeremiah Shane Dunlap is a Puyallup, Washington based counselor who is specialized as Mental Health Counselor. Active license number of Mr. Jeremiah Shane Dunlap is CP60556714 for Addiction (Substance Use Disorder) Counselor in Washington. His current practice location is 18208 113th Ave E, Puyallup. Patients can book an appointment with him at 253-359-3219.
Mr. Jeremiah Shane Dunlap is a licensed professional who helps individuals, couples, and families manage and overcome emotional, psychological, and behavioral challenges. He assess clients’ mental health conditions and develop personalized treatment plans to provide therapy for a range of mental health issues, including anxiety, depression, trauma, relationship issues, stress, grief, and life transitions.
Complete Profile:
Mr. Jeremiah Shane Dunlap speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Mr. Jeremiah Shane Dunlap
Specialization:
Mental Health Counselor
Gender:
Male
Credentials:
SUDP
Accepts Medicare Assignment:
No
Practice Address:
18208 113th Ave E, Puyallup, Washington, 98374-8854
Phone:
253-359-3219
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1336515964
NPI Enumeration Date:
18 Aug, 2015
NPI Last Update On:
18 Feb, 2025
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Mr. Jeremiah Shane Dunlap are as mentioned below.
License Number
Specialization
State
Status
CP60556714
Addiction (Substance Use Disorder) Counselor
Washington
Primary
CP60556714
Mental Health Counselor
Washington
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Mr. Jeremiah Shane Dunlap such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
CP60556714
Other
Washington
CHEMICAL DEPENDANCY PROFESSIONAL
41614
Medicaid
Washington
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
18208 113th Ave E, Puyallup, Washington
Zip:
98374-8854
Phone Number:
253-359-3219
Patients can reach Mr. Jeremiah Shane Dunlap at 18208 113th Ave E, Puyallup, Washington or can call to book an appointment on 253-359-3219. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.