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Individual

MR. BRYAN DAVID JEFFERS-ATKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
BA, CDP, AAC

Contact information

Practice address
5601 N 37TH ST, LL-12, TACOMA, WA 98407-2666
(253) 302-5668
(253) 301-1776
Mailing address
5601 N 37TH ST, LL-12, TACOMA, WA 98407-2666
(253) 302-5668
(253) 301-1776

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00006148
WA
101YP2500X
Professional Counselor
Primary
CG60277350
WA

Other

Enumeration date
10/01/2012
Last updated
10/01/2012
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