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Individual
REGINALD GERARD JEFFERSON
Active
Individual
REGINALD GERARD JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NCC, LPC, LMFTA
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
65190
TX
101YP2500X
Professional Counselor
Primary
65190
TX
106H00000X
Marriage & Family Therapist
201412
TX
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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