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Individual

CEDRIC JEFFERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1819 S DOBSON RD STE 203, MESA, AZ 85202-5665
(310) 435-7622
Mailing address
10606 HAAS AVE, LOS ANGELES, CA 90047-4336
(310) 429-1453

Taxonomy

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

Other

Enumeration date
12/28/2022
Last updated
12/28/2022
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