TIM JEFFERIES


Address: 2204 Pacific Ave N, Long Beach, WA 98631-3300
Phone: 3606423787

TIM JEFFERIES (NPI# 1316211261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1316211261
Entity Type Individual
Full Name TIM JEFFERIES
Credential CDPT
Practice Address 2204 Pacific Ave N
Long Beach
WA 98631-3300
Practice Telephone 3606423787
Practice Fax Number 3606422096
Mailing Telephone 3606423787
Mailing Fax Number 3606422096
Enumeration Date 2012-02-23
Last Update Date 2012-02-23
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers

Office Location

Street Address 2204 PACIFIC AVE N
City LONG BEACH
State WA
Zip Code 98631-3300

Providers in the same location

NPI Name Taxonomy Address Enumeration
1174570949 Willapa Counseling Center Clinic/Center 2204 Pacific Ave N, Long Beach, WA 98631-3300 2006-05-27
1760008783 Willapa Counseling Center General Practice 2204 Pacific Ave N, Long Beach, WA 98631-3300 2020-06-25
1114542503 Sarah Wheat Social Worker 2204 Pacific Ave N, Long Beach, WA 98631-3300 2020-06-10
1629691191 Melodie Nichelle Presler Peer Specialist 2204 Pacific Ave N, Long Beach, WA 98631-3300 2020-05-19
1184245565 Michael Nolan Counselor 2204 Pacific Ave N, Long Beach, WA 98631-3300 2020-04-27
1598398067 Cassaundra Cretian Counselor 2204 Pacific Ave N, Long Beach, WA 98631-3300 2020-02-12
1396381083 Tysha Marie Wirkkala Counselor 2204 Pacific Ave N, Long Beach, WA 98631-3300 2019-11-18
1417590324 Arielle Stewart Peer Specialist 2204 Pacific Ave N, Long Beach, WA 98631-3300 2019-10-23
1841841152 John Williams Counselor 2204 Pacific Ave N, Long Beach, WA 98631-3300 2019-09-27
1184275265 Marisa Elizabeth Maul Counselor 2204 Pacific Ave N, Long Beach, WA 98631-3300 2019-09-20
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1063048197 Peninsula Pharmacies Inc Long Beach Pharmacy Annex Pharmacy 110 Oregon Ave S, Long Beach, WA 98631 2020-03-20
1033755244 Willapa Behavioral Health Peer Specialist 2204 Pacific Ave. N., Long Beach, WA 98631 2019-11-22
1427576362 Susan Amy Goldsmith Social Worker 607 Ocean Beach Blvd. N., Long Beach, WA 98631 2017-08-30
1558724302 Jesse Wityczak Pharmacist 101 Bolstad Ave E, Long Beach, WA 98631 2016-03-30
1659618007 Teresa Mary Fleck Speech-Language Pathologist 400 S Washington, Long Beach, WA 98631 2013-01-04
1639400385 Wendy Liu Counselor 2204 Pacififc Avenue N, Long Beach, WA 98631 2010-01-20
1093046088 Diane L Adams Counselor 2204 Pacific Avenue N, Long Beach, WA 98631 2010-01-15
1538498076 Steven R Fox Counselor 22004 Pacific Way N, Long Beach, WA 98631 2009-12-11
1295907137 Brandon L Adams Md Ps General Practice 105 6th St, Long Beach, WA 98631 2008-04-01
1710188263 Willapa Counseling Center Clinic/Center 1107 Pacific Avenue North, Long Beach, WA 98631 2007-05-31
Find all providers in zip 98631

Taxonomy Information

Taxonomy Code 101YA0400X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Addiction (Substance Use Disorder)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1114534526 Lakeysher Swantima Whitfeld Counselor 1225 E 3rd St Apt A, Long Beach, CA 90802-3670 2020-09-29
1467061457 Alex Glowacki Counselor 212 Euclid Ave Apt 102, Long Beach, CA 90803-6033 2020-07-27
1154960441 Asopaepae Ropeti Mulitauaopele Counselor 2720 E 56th St, Long Beach, CA 90805-5104 2020-01-03
1689212029 Brian Scott Becher Counselor 4427 E Anaheim St # B, Long Beach, CA 90804-3115 2019-12-17
1134774912 Asucena Leon Counselor 2140 W Wardlow Rd Apt 3, Long Beach, CA 90810-2059 2019-08-07
1649746215 Cassandra Whitney Dewey Counselor 2120 W. Williams Street, Long Beach, CA 90810 2018-10-22
1598240442 Elle Whitney Anzalone Counselor 6502 E Wardlow Rd, Long Beach, CA 90808-4137 2018-09-26
1114404407 Anthony Sison Counselor 1358 Ximeno Ave, Long Beach, CA 90804-3045 2018-07-19
1073026738 Latrisha S. Stewart Counselor 2120 W Williams St Unit 31, Long Beach, CA 90810-3636 2017-11-15
1316462484 Kathlyn Pearl Parlet Counselor 351 E. 6th. Street, Long Beach, CA 90802 2017-08-09
Find all providers in LONG BEACH

Competitor

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City LONG BEACH
Zip Code 98631

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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