JOHNNA LAYNE JEFFREYS SUDP CP- 61191773 NPI 1497207252

NPI Information

NPI: 1497207252
Provider Name: JOHNNA LAYNE JEFFREYS, SUDP CP- 61191773
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
21810 NE 37TH AVE
RIDGEFIELD, WA
ZIP 98642
Phone: (844) 777-9242
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Johnna Layne Jeffreys, SUDP CP- 61191773 is an addiction (substance use disorder) counselor in Ridgefield, WA. Johnna Layne Jeffreys, SUDP CP- 61191773 NPI is 1497207252. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21810 NE 37TH AVE
RIDGEFIELD, WA
ZIP 98642-747
Phone: (844) 777-9242
Fax: (360) 397-7477

The enumeration date for this NPI number is 10/27/2016 and was last updated on 11/17/2022.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	CO60660639	WASHINGTON	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	61191773	WASHINGTON	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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