Individual
BRANDI NICOLE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
105 W UPSAL ST, PHILADELPHIA, PA 19119-4003
(215) 989-3209
Mailing address
105 W UPSAL ST, PHILADELPHIA, PA 19119-4003
(215) 989-3209
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
PC014972
PA
Other
Enumeration date
11/21/2022
Last updated
11/21/2022
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