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Individual

JENNIFER LYNN JEFFERS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MS, LPC

Contact information

Practice address
212 N MAIN ST STE 204, NORTH WALES, PA 19454-3129
(267) 217-7065
(267) 217-7607
Mailing address
212 N MAIN ST STE 204, NORTH WALES, PA 19454-3129
(672) 225-3976

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC012865
PA
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
PC012865
PA
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
PC012865
PA
101YP2500X
Professional Counselor

Other

Enumeration date
01/03/2021
Last updated
01/26/2021
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