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Individual

JEANA WEEKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CDP

Contact information

Practice address
1215 120TH AVE NE, SUITE 204, BELLEVUE, WA 98005-2135
(425) 283-4200
(425) 679-5679
Mailing address
1215 120TH AVE NE, SUITE 204, BELLEVUE, WA 98005-2135
(425) 283-4200
(425) 679-5679

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP00006242
WA
101YM0800X
Mental Health Counselor
RC0004507
WA

Other

Enumeration date
04/15/2009
Last updated
04/15/2009
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