Individual
DEANDRA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
108 INVIEW RD STE 106, WEST COLUMBIA, SC 29169-5234
(803) 223-9010
Mailing address
108 INVIEW RD STE 106, WEST COLUMBIA, SC 29169-5234
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
10420
SC
Other
Enumeration date
07/18/2025
Last updated
07/18/2025
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