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Individual
JEFFREY SHERRY
Active
Individual
JEFFREY SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60894144
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO60631322
WA
Other
Enumeration date
11/01/2018
Last updated
08/05/2020
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