Individual
KEVIN JEFFERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
405 RIVANNA HILL RD, GLEN ALLEN, VA 23060-4062
(804) 687-6146
Mailing address
405 RIVANNA HILL RD, GLEN ALLEN, VA 23060-4062
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
0701016166
VA
101YM0800X
Mental Health Counselor
0701016166
VA
101YP2500X
Professional Counselor
Primary
0701016166
VA
Other
Enumeration date
05/01/2026
Last updated
05/01/2026
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