Individual
DR. JACQUELINE JEFFRIES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DBH, LISAC
Contact information
Practice address
201 W GUADALUPE RD STE 301, GILBERT, AZ 85233-3333
(480) 455-0915
(480) 212-0924
Mailing address
3736 E ISABELLA AVE, MESA, AZ 85206-3803
(480) 455-0915
(480) 212-0924
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LISAC-11894
AZ
Other
Enumeration date
05/05/2014
Last updated
09/10/2014
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