QUINCY T JEFFERSON CDP
NPI 1780155341
Counselor - Addiction (Substance Use Disorder) in Kirkland, WA

Active since December 07, 2018
10322 NE 132ND STREET, KIRKLAND, WA 98034(425) 823-3116 Get Directions Write a Review

NPPES record last updated: December 7, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Quincy T Jefferson Cdp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

QUINCY T JEFFERSON CDP (NPI 1780155341) is an individual addiction (substance use disorder) provider in Kirkland, Washington, licensed in Washington (CP6051684) and active in the NPI registry since December 2018.

NPPES Registry Identity

NPI1780155341
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameQUINCY T JEFFERSONCredential: CDP
Location Address10322 NE 132ND STREETKirkland, WA 98034-9803
Mailing Address10322 Ne 132nd StreetKirkland, WA 98034
Sole ProprietorYes
Enumeration DateDecember 7, 2018
NPI 1780155341 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License Licensed in WA · CP6051684
10322 NE 132ND STREET, Kirkland, WA 98034

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Addiction (Substance Use Disorder))
10322 NE 132ND STREET
KIRKLAND, WA 98034

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Quincy Jefferson's NPI number?

The NPI number for Quincy Jefferson is 1780155341. It was assigned to this individual provider in the NPPES registry on December 7, 2018.

Where is Quincy Jefferson located?

Quincy Jefferson practices at 10322 NE 132nd Street, Kirkland, WA 98034. The listed phone number is (425) 823-3116.

What is Quincy Jefferson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Quincy Jefferson was last updated on December 7, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.