Individual
MRS. COLLEEN G. JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
303 PARKWAY DR NE, ATLANTA, GA 30312-1212
(404) 409-4649
Mailing address
PO BOX 1401, JONESBORO, GA 30237-1401
(404) 409-4649
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC002937
GA
Other
Enumeration date
02/01/2007
Last updated
07/27/2009
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