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Individual

DR. LANITA JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1103 BELLEVIEW ST STE 104, COLUMBIA, SC 29201-1871
(803) 315-0302
Mailing address
1103 BELLEVIEW ST STE 104, COLUMBIA, SC 29201-1871
(803) 315-0302

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7453
SC

Other

Enumeration date
10/02/2019
Last updated
11/07/2023
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