MRS. JILLIAN ANNE MALINAK SUDP, CAAR - NPI 1790181584

Q: What is the provider's specialty?

The provider's specialty is Counselor with taxonomy code 101Y00000X.

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About Mrs. Jillian Anne Malinak Sudp, Caar NPPES

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

MRS. JILLIAN ANNE MALINAK SUDP, CAAR (NPI 1790181584) is an individual counselor in Olympia, Washington, licensed in Washington (CP60690607) and active in the NPI registry since November 2014.

NPPES Registry Identity

NPI1790181584

Entity TypeIndividualFemale

Primary Taxonomy101Y00000X

Provider Legal NameMRS. JILLIAN ANNE MALINAKCredential: SUDP, CAAR

Location Address3773 MARTIN WAY E STE 105Olympia, WA 98506

Mailing Address1210 68th Ave SeTumwater, WA 98501-5631 · (360) 688-7312 · Fax (360) 688-7318

Phone(360) 688-7312

Fax(360) 688-7318

Sole ProprietorNo

Enumeration DateNovember 6, 2014

Last NPPES UpdateMarch 26, 20216 updates tracked since enumeration

NPPES CertifiedMarch 26, 2021

✔ NPI 1790181584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCounselorBehavioral Health & Social Service Providers

Taxonomy Code101Y00000X

License✔ Licensed in WA · CP60690607

Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License CO6049646 (WA), CP60690607 (WA)

Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License CG60674740 (WA)

3773 MARTIN WAY E STE 105, Olympia, WA 98506

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Other Names 1

Former Name (1)Miss Jillian Anne White

Other Providers at the Same Location NPPES 6

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

JONATHON ROBERT COOK CDP-T

Counselor (Addiction (Substance Use Disorder))