Individual
ANDREW JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
100 COMMUNITY DR STE 208, TOBYHANNA, PA 18466-8987
(570) 243-8787
(570) 243-8797
Mailing address
100 COMMUNITY DR STE 208, TOBYHANNA, PA 18466-8987
(570) 243-8787
(570) 243-8797
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
R041830
NY
Other
Enumeration date
06/18/2018
Last updated
06/18/2018
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