Organization
JEFFERSON WELLNESS AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LANITA MICHELLE JEFFERSON PH.D., LPC, LPCS (OWNER)
(803) 315-0302
Entity
Organization
Contact information
Practice address
1103 BELLEVIEW ST STE 104, COLUMBIA, SC 29201-1871
(803) 318-9826
Mailing address
441 ALDERSTON WAY, COLUMBIA, SC 29229-9531
(803) 315-0302
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/13/2023
Last updated
11/07/2023
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