Provider Demographics
NPI:1841922481
Name:JEFFCOTT, AMANDA JOANNE
Entity type:Individual
Prefix:
First Name:AMANDA
Middle Name:JOANNE
Last Name:JEFFCOTT
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3618 81ST DR NE
Mailing Address - Street 2:
Mailing Address - City:MARYSVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98270-7017
Mailing Address - Country:US
Mailing Address - Phone:425-760-0654
Mailing Address - Fax:
Practice Address - Street 1:3000 ROCKEFELLER AVE # MS 305
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4071
Practice Address - Country:US
Practice Address - Phone:425-388-7200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor