Individual
CARLETTE JEFFERSON-SCOTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
863 BERKSHIRE PL, CRETE, IL 60417-1979
(708) 704-9274
Mailing address
863 BERKSHIRE PL, CRETE, IL 60417-1979
(708) 704-9274
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
180007857
IL
Other
Enumeration date
03/31/2014
Last updated
03/31/2014
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