Organization
JEFFERSON COMMUNITY COUNSELING CENTER
Active
Organization
JEFFERSON COMMUNITY COUNSELING CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TONYA M FERGUSON (DIRECTOR OF OPERATIONS AND COMPLIAN)
(360) 385-0321
Entity
Organization
Contact information
Practice address
884 W PARK AVE, PORT TOWNSEND, WA 98368-2273
(360) 385-0321
(360) 379-2547
Mailing address
PO BOX 565, PORT TOWNSEND, WA 98368-0565
(360) 385-0321
(360) 379-2547
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7031917
—
WA
Enumeration date
10/10/2006
Last updated
02/07/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up