Individual
PATRICIA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSED RN LCADC CCS
Contact information
Practice address
40 WOODBRIDGE AVE, SEWAREN, NJ 07077-1351
(732) 636-1931
Mailing address
40 WOODBRIDGE AVE, SEWAREN, NJ 07077-1351
(732) 636-1931
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
163W00000X
Registered Nurse
26NR14629700
NJ
Other
Enumeration date
09/22/2015
Last updated
05/30/2017
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