Individual
MR. ANTHONY B. JEFFERSON SR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1280 VERMONT AVE, ALLENTOWN, PA 18103-8466
(610) 709-7772
Mailing address
1280 VERMONT AVE, ALLENTOWN, PA 18103-8466
(610) 709-7772
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC006678
PA
Other
Enumeration date
12/13/2012
Last updated
12/14/2012
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