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Individual
MS. VIRGINIA WILSON JEFFERS
Active
Individual
MS. VIRGINIA WILSON JEFFERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW LCAS
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1337
NC
1041C0700X
Clinical Social Worker
Primary
C004243
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
11915020
CAQH
NC
01
—
1434V
BCBSNC
NC
05
—
6003636
—
NC
Enumeration date
06/22/2007
Last updated
02/25/2019
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