person
Jc Ephraim JR., CCC,SUDP,MHP,
Addiction (Substance Use Disorder) Counselor in Renton, Washington
NPI 1497028823

Jc Ephraim JR. is an Addiction (Substance Use Disorder) Counselor based in Kent, WA and is specialized in Addiction (Substance Use Disorder). Jc Ephraim JR. practices in Renton, WA and has the professional credentials of CCC,SUDP,MHP,. The NPI Number for Jc Ephraim JR. is 1497028823 and holds a License No. CL60461451 (Washington).

The current practice location address for Jc Ephraim JR. is 15 S Grady Way Ste 310, Renton, WA and can be reached out via phone at 206-726-0430.

Location: 15 S Grady Way Ste 310, Renton, WA, 98064-6385
person
Provider Profile Details
NPI Number
1497028823
Provider Name
Jc Ephraim JR.
Credential
CCC,SUDP,MHP,
Provider Entity Type
Individual
Gender
Male
Address
15 S Grady Way Ste 310, Renton, WA, 98064-6385
Phone Number
206-726-0430
Fax Number
Provider Enumeration Date
02/15/2012
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
15 S Grady Way Ste 310
City
State
Zip
98057-3215
Phone Number
206-726-0430
Fax Number
person
Provider Business Mailing Address Details
Address
15 S Grady Way Ste 310
City
State
Zip
98057-3215
Phone Number
206-726-0430
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CP00001663 (Washington)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CL60461451 (Washington)
Definition
Definition to come...
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