Individual
LASHAUN JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
167 BLUFFTON RD, BLUFFTON, SC 29910-6227
(843) 757-7500
Mailing address
1050 RIBAUT RD, BEAUFORT, SC 29902-5400
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10141
SC
Other
Enumeration date
09/20/2015
Last updated
03/17/2021
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