Individual
MRS. KATIE DANIELLE JEFFERY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CERT PEER SUPPORT
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
CG60382767
WA
247200000X
Other Technician
—
—
Other
Enumeration date
03/01/2013
Last updated
06/28/2024
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