Johnna Layne Jeffreys, SUDP CP- 61191773
NPI #1497207252 in Ridgefield, Washington
Provider Information
- NPI Number
- 1497207252
- Entity Type
- Individual
- Name
- Johnna Layne Jeffreys, SUDP CP- 61191773
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Addiction (Substance Use Disorder)
- Credential
- SUDP CP- 61191773
- Enumeration Date
- Oct 27, 2016
- Last Updated
- Nov 17, 2022
Practice Location
- Address
- 21810 NE 37TH AVE
- City
- Ridgefield
- State
- Washington
- ZIP Code
- 98642-7747
- Phone
- (844) 777-9242
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder) |
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