Jefferson Community Counseling Center
LBN: Jefferson Community Counseling Center
Jefferson Community Counseling Center is an health care organization with primary practice located at 884 W Park Ave , Port Townsend WA 98368-2273. The organization recently has 2 registered licenses in different health care specialties including Agencies / Community/Behavioral Health, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Agencies / Community/Behavioral Health is the primary health care specialty.
Jefferson Community Counseling Center can be contacted via phone (360) 385-0321, or through Ferguson, Tonya M via phone (360) 385-0321.
Contact Information
Primary practice address
884 W Park Ave
Port Townsend WA 98368-2273
Phone: (360) 385-0321
Fax: (360) 379-2547
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Agencies / Community/Behavioral Health | 251S00000X | ||
| Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X |
Profile Details
| NPI number | 1083701015 |
|---|---|
| LBN Legal business name | Jefferson Community Counseling Center |
| DBA Doing business as | |
| Authorized official | Ferguson, Tonya M |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 10th, 2006 |
| Last updated | Feb 7th, 2022 - about 4 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1083701015 | NPPES |
| Washington | MEDICAID | 7031917 |
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