Jennifer Hall
Counselor, Addiction (Substance Use Disorder) in Everett, WA. Individual provider (NPI-1).
NPI number1124473434
StatusActive
Last updated in NPPESOct 7, 2016
Details
- NPI
- 1124473434
- Entity type
- Individual (NPI-1)
- Name
- Jennifer Hall
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Apr 25, 2016
- Last updated
- Oct 7, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YA0400X | Counselor, Addiction (Substance Use Disorder) | CO 60525415 | WA | Yes |
Practice location
811 Madison StreetSunrise Services INC.
Everett, WA 98203
Phone 425-212-4200 · Fax 425-212-4201
Mailing address
Po Box 2569Sunrise Services INC.
Everett, WA 98213
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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