Individual
MRS. STACY DUHE JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1009 POLLY AVE., BAYTOWN, TX 77520
(281) 968-1738
(832) 769-4723
Mailing address
1009 POLLY AVE., BAYTOWN, TX 77520
(281) 968-1738
(832) 769-4723
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
247ZC0005X
Clinical Laboratory Director (Non-physician)
Primary
—
—
Other
Enumeration date
02/27/2020
Last updated
02/27/2020
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