Tim Jefferies, CDPT
NPI #1316211261 in Long Beach, Washington
Provider Information
- NPI Number
- 1316211261
- Entity Type
- Individual
- Name
- Tim Jefferies, CDPT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- CDPT
- Enumeration Date
- Feb 23, 2012
- Last Updated
- Feb 23, 2012
Practice Location
- Address
- 2204 PACIFIC AVE N
- City
- Long Beach
- State
- Washington
- ZIP Code
- 98631-3300
- Phone
- (360) 642-3787
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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