Individual
JOE MAC JEFFERS
Active
Individual
JOE MAC JEFFERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ED.D.
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
21733
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
117880
SUPERIOR HEALTHPLAN NETWO
TX
01
—
130095
MHN/HMC CLAIMS
TX
Enumeration date
06/22/2005
Last updated
07/08/2007
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