Individual
SHAWNTE JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1401 MERCANTILE LN STE 521, LARGO, MD 20774-4301
(202) 391-1307
Mailing address
6823 JADE CT, CAPITOL HEIGHTS, MD 20743-1873
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LGP8051
MD
101YP2500X
Professional Counselor
Primary
LC9609
MD
Other
Enumeration date
09/29/2017
Last updated
07/05/2023
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