Individual
MS. DAVITA MARIE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, NCC
Contact information
Practice address
4268 CAHABA HEIGHTS CT, SUITE#117, VESTAVIA, AL 35243-5711
(205) 529-3934
Mailing address
965 41ST ST W, BIRMINGHAM, AL 35208-1001
(205) 529-3934
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2947
AL
Other
Enumeration date
07/24/2012
Last updated
11/20/2012
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