Individual
MATTHEW B ELLEFSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 550-5894
Mailing address
1618 S LANE ST, SEATTLE, WA 98144-2829
(206) 550-5894
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
WA
Other
Enumeration date
02/22/2023
Last updated
02/22/2023
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