Individual
MRS. STANNETTA SHONNAE JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED
Contact information
Practice address
1836 CARROLLTON VILLA RICA HWY STE 103, VILLA RICA, GA 30180-5193
(404) 955-8558
Mailing address
1836 CARROLLTON VILLA RICA HWY STE 103, VILLA RICA, GA 30180-5193
(404) 955-8558
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/15/2025
Last updated
10/24/2025
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