Individual
JOHNNA LAYNE JEFFREYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SUDP CP- 61191773
Contact information
Practice address
21810 NE 37TH AVE, RIDGEFIELD, WA 98642-7747
(844) 777-9242
(360) 397-7477
Mailing address
21810 NE 37TH AVE, RIDGEFIELD, WA 98642-7747
(844) 777-9242
(360) 397-7477
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
61191773
WA
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60660639
WA
Other
Enumeration date
10/27/2016
Last updated
11/17/2022
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