Individual
MIKEL MICHELE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2104 NW 157TH TER, EDMOND, OK 73013-1730
(405) 761-4464
Mailing address
2104 NW 157TH TER, EDMOND, OK 73013-1730
(405) 761-4464
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/19/2012
Last updated
07/19/2012
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