Individual
KATRINA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S.W., L.C.S.W.
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
CP00940811
WV
1041C0700X
Clinical Social Worker
Primary
CP00940811
WV
106H00000X
Marriage & Family Therapist
CP00940811
WV
Other
Enumeration date
03/24/2010
Last updated
12/10/2014
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