Individual
ANTONIA JEFFERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC, LPC
Contact information
Practice address
4175 W 20TH AVE, HIALEAH, FL 33012-5874
(305) 825-0300
Mailing address
8300 NW 102ND AVE APT 412, DORAL, FL 33178-4793
(314) 853-0790
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
MH23175
FL
101YP2500X
Professional Counselor
Primary
95699
TX
Other
Enumeration date
01/26/2024
Last updated
07/15/2025
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