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MS. JETTA KIMBERLY LUCIANO CDP
NPI 1306073515
Counselor - Addiction (Substance Use Disorder) in Vancouver, WA

Active since June 15, 2009
6926 E FOURTH PLAIN BLVD, SUITE #100, VANCOUVER, WA 98661(360) 993-3000(360) 737-3451 Get Directions Write a Review

NPPES record last updated: July 24, 2013. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ms. Jetta Kimberly Luciano Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. JETTA KIMBERLY LUCIANO CDP (NPI 1306073515) is an individual addiction (substance use disorder) provider in Vancouver, Washington, licensed in Washington (CP 00004432) and active in the NPI registry since June 2009.

NPPES Registry Identity

NPI1306073515
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMS. JETTA KIMBERLY LUCIANOCredential: CDP
Location Address6926 E FOURTH PLAIN BLVD, SUITE #100Vancouver, WA 98661-7369
Mailing AddressPo Box 1337Vancouver, WA 98666-1337 · (360) 993-3000 · Fax (360) 737-3451
Phone(360) 993-3000
Fax(360) 737-3451
Sole ProprietorNo
Enumeration DateJune 15, 2009
Last NPPES UpdateJuly 24, 2013
✔ NPI 1306073515 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in WA · CP 00004432
6926 E FOURTH PLAIN BLVD, Vancouver, WA 98661
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DEIDRA GRAVINA
Counselor (Addiction (Substance Use Disorder))
6926 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3000
JENNIFER MCMILLAN
Counselor (Mental Health)
6926 E FOURTH PLAIN BLVD
VANCOUVER, WA 98661
Clark County (360) 993-3189
DAWNELL BROECKEL
Counselor (Addiction (Substance Use Disorder))
6926 E FOURTH PLAIN BLVD, SUITE 100
VANCOUVER, WA 98661
Clark County (360) 993-3208

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jetta Luciano's NPI number?

The NPI number for Jetta Luciano is 1306073515. It was assigned to this individual provider in the NPPES registry on June 15, 2009.

Where is Jetta Luciano located?

Jetta Luciano practices at 6926 E Fourth Plain Blvd Suite #100, Vancouver, WA 98661. The listed phone number is (360) 993-3000.

What is Jetta Luciano's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Jetta Luciano was last updated on July 24, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.