Individual
ANITRA DE'ANDRE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CSW
Contact information
Practice address
3303 TULANE AVE, SUITE #6-7, NEW ORLEANS, LA 70119-7185
(504) 826-5206
Mailing address
31 MARYWOOD CT, NEW ORLEANS, LA 70128-2029
(504) 931-3074
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
13551
LA
Other
Enumeration date
12/05/2016
Last updated
12/05/2016
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