Individual
JEFFREY SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Mailing address
1700 AIRPORT WAY S, SEATTLE, WA 98134-1618
(206) 223-3644
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
60894144
WA
390200000X
Student in an Organized Health Care Education/Training Program
CO60631322
WA
Other
Enumeration date
11/01/2018
Last updated
08/05/2020
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