Individual
ANGELA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2631 MICHAEL RD # B, BELLINGHAM, WA 98226-9233
(360) 312-2422
(360) 384-2349
Mailing address
2631 MICHAEL RD # B, BELLINGHAM, WA 98226-9233
(360) 312-2422
(360) 384-2349
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO 60336918
WA
Other
Enumeration date
01/04/2016
Last updated
01/04/2016
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