Individual
MR. JEFFERSON COX TERRILL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
799 FAIRWAY DR, LA PLACE, LA 70068-2007
(985) 652-0021
(504) 866-3391
Mailing address
6220 LASALLE PL, NEW ORLEANS, LA 70118-6236
(504) 835-5007
(504) 866-3391
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
4603
LA
Other
Enumeration date
03/27/2012
Last updated
03/27/2012
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