Individual
MS. CANDIDA D JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, RBT
Contact information
Practice address
304 W ORION DR, KILLEEN, TX 76542-6630
(254) 964-7936
Mailing address
304 W ORION DR, KILLEEN, TX 76542-6630
(254) 964-7936
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
TX
Other
Enumeration date
06/20/2022
Last updated
06/20/2022
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