Individual
SAMANTHA JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1105 VIA CORSO AVE, SUITE 2, SIMPSONVILLE, SC 29681
(864) 430-8770
Mailing address
1105 VIA CORSO AVE, SUITE 2, SIMPSONVILLE, SC 29681
(864) 430-8770
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6495
SC
Other
Enumeration date
01/18/2017
Last updated
06/14/2024
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