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Individual
ANTAWNY JEFFERSON
Active
Individual
ANTAWNY JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CERTIFIED COUNSELOR
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17924
CA
Other
Enumeration date
05/22/2019
Last updated
10/03/2025
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