Individual
MR. RICHARD D JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
8212 S MARCH POINT RD, ANACORTES, WA 98221-8684
(360) 588-2800
Mailing address
2230 ERIE ST, BELLINGHAM, WA 98229-4143
(360) 510-4842
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00003215
WA
Other
Enumeration date
08/05/2022
Last updated
08/05/2022
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