Jefferies, Tim
Jefferies, Tim is an sole proprietor health care provider with primary practice located at 2204 Pacific Ave N , Long Beach WA 98631-3300. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Jefferies, Tim can be contacted via phone (360) 642-3787.Contact Information
Primary practice address
2204 Pacific Ave N
Long Beach WA 98631-3300
Phone: (360) 642-3787
Fax: (360) 642-2096
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X |
Profile Details
| NPI number | 1316211261 |
|---|---|
| LBN Legal business name | Jefferies, Tim |
| Credentials | CDPT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 23rd, 2012 |
| Last updated | Feb 23rd, 2012 - about 13 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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