Individual
MAXIMILLIAN A JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, NCC, MFT
Contact information
Practice address
474 BOXELDER RD, ATLANTA, GA 30349-1673
(470) 423-2671
(678) 870-2274
Mailing address
474 BOXELDER RD, ATLANTA, GA 30349-1673
(470) 423-2671
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
11260
SC
101YP2500X
Professional Counselor
LPC007538
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
461399935
—
GA
Enumeration date
11/20/2013
Last updated
08/03/2025
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