Individual
KENADI L JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
127 N LAFAYETTE ST, SOUTH LYON, MI 48178-1210
(248) 573-7417
Mailing address
127 N LAFAYETTE ST, SOUTH LYON, MI 48178-1210
(248) 573-7417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023414
MI
156F00000X
Technician/Technologist
—
—
Other
Enumeration date
08/16/2018
Last updated
04/10/2026
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