TIM JEFFERIES

LONG BEACH, WA
NPI1316211261
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2012-02-23
Last Update Date2012-02-23
Business Address
-- TIM JEFFERIES CDPT
2204 PACIFIC AVE N
LONG BEACH, WA 98631-3300
Phone number: 360-642-3787
Mailing Address
-- TIM JEFFERIES CDPT
2204 PACIFIC AVE N
LONG BEACH, WA 98631-3300
Phone number: 360-642-3787
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