Individual
KIOSHA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7301 RESTGATE RD, NEW ORLEANS, LA 70127-1839
(504) 388-8148
Mailing address
7301 RESTGATE RD, NEW ORLEANS, LA 70127-1839
(504) 388-8148
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6005
LA
Other
Enumeration date
08/02/2016
Last updated
11/07/2017
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