Individual
KEVIN WESLEY JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCDC
Contact information
Practice address
715 W 2ND AVE, CORSICANA, TX 75110-3012
(903) 872-4442
(903) 872-2125
Mailing address
620 MONROE ST, JACKSONVILLE, TX 75766-4342
(817) 291-3235
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
16142
TX
Other
Enumeration date
05/05/2023
Last updated
05/05/2023
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