Provider Demographics
NPI:1598558959
Name:KENT-DOBIAS, JILLIAN JEE YUNG
Entity type:Individual
Prefix:
First Name:JILLIAN
Middle Name:JEE YUNG
Last Name:KENT-DOBIAS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:912 GLENNWOOD AVE NE APT 5
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-3063
Mailing Address - Country:US
Mailing Address - Phone:425-765-4935
Mailing Address - Fax:
Practice Address - Street 1:3704 NE 9TH CT
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98056-3815
Practice Address - Country:US
Practice Address - Phone:425-900-5666
Practice Address - Fax:435-900-5925
Is Sole Proprietor?:No
Enumeration Date:2025-05-27
Last Update Date:2025-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician