Individual
MS. ALVA REENE JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
19871 W FREEMONT RD, BUCKEYE, AZ 85326-9512
(623) 474-6671
Mailing address
3623 W MORROW DR, GLENDALE, AZ 85308-2323
(310) 487-2639
Taxonomy
Speciality
Code
Description
License number
State
101YS0200X
School Counselor
Primary
3785087
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
690976/1043419641
AHCCCS
AZ
05
—
86-60000493
—
AZ
Enumeration date
08/21/2010
Last updated
08/21/2010
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