Individual
AUTUMN JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
4211 AVALON BLVD, LOS ANGELES, CA 90011-5622
(323) 432-5185
Mailing address
5943 OCEAN TERRACE DR, RANCHO PALOS VERDES, CA 90275-5756
(310) 418-9117
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY33479
CA
Other
Enumeration date
03/01/2007
Last updated
10/16/2024
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