Individual
DR. JOSEPH ROBERT JEFFERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PSYD, LP, LMFT, CPRP
Contact information
Practice address
4800 OLSON MEMORIAL HWY STE 202, GOLDEN VALLEY, MN 55422-5169
(507) 474-6264
(507) 218-8553
Mailing address
1401 21ST ST STE R, SACRAMENTO, CA 95811-5226
(619) 980-9549
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
35901
CA
106H00000X
Marriage & Family Therapist
1031-124
WI
106H00000X
Marriage & Family Therapist
3198
MN
Other
Enumeration date
06/09/2014
Last updated
06/21/2025
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