Organization
KATRINA M. JEFFERSON
Active
Other names
TLC Therapeutic and Consultation Services
Organization subpart
No
Provider details
NPI number
Authorized official
KATRINA JEFFERSON CSW (OWNER)
(740) 622-7108
Entity
Organization
Contact information
Practice address
5930 MAHOOD DR, HUNTINGTON, WV 25705-2210
(304) 955-5111
(740) 295-5372
Mailing address
5930 MAHOOD DR, HUNTINGTON, WV 25705-2210
(304) 955-5111
(740) 295-5372
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/26/2016
Last updated
01/26/2016
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