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Organization
JEFFERSON WELLNESS AND CONSULTING LLC
Active
Organization
JEFFERSON WELLNESS AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANITA MICHELLE JEFFERSON PH.D., LPC, LPCS (OWNER)
(803) 315-0302
Entity
Organization
Contact information
Practice address
1103 BELLEVIEW ST STE 104, COLUMBIA, SC 29201-1871
(803) 318-9826
Mailing address
441 ALDERSTON WAY, COLUMBIA, SC 29229-9531
(803) 315-0302
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
11/07/2023
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