| NPI | 1043420318 |
|---|---|
| Former Name | ELLEN JANELL JEFFCOAT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: WA CP60088744) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2013-06-07 |