Individual
JENNIFER HALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
811 MADISON STREET, SUNRISE SERVICES INC., EVERETT, WA 98203
(425) 212-4200
(425) 212-4201
Mailing address
PO BOX 2569, SUNRISE SERVICES INC., EVERETT, WA 98213
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60525415
WA
Other
Enumeration date
04/25/2016
Last updated
10/07/2016
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