RICHARD D JEFFERSON

ANACORTES, WA
NPI1073240305
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: WA  CP00003215)
Enumeration Date2022-08-05
Last Update Date2022-08-05
Business Address
Mr. RICHARD D JEFFERSON SUDP
8212 S MARCH POINT RD
ANACORTES, WA 98221-8684
Phone number: 360-588-2800
Mailing Address
Mr. RICHARD D JEFFERSON SUDP
2230 ERIE ST
BELLINGHAM, WA 98229-4143
Phone number: 360-510-4842
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