Individual
JERI JEFFERYS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCAS
Contact information
Practice address
1709 MEDFIELD RD, RALEIGH, NC 27607-4727
(919) 389-2165
Mailing address
1709 MEDFIELD RD, RALEIGH, NC 27607-4727
(919) 389-2165
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1293
NC
Other
Enumeration date
11/20/2024
Last updated
11/20/2024
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