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Mrs. Cowenda Shavonne Jefferson, MALPCNCCCCAADC
Professional Counselor in Hogansville, Georgia
NPI 1003911348

Cowenda Shavonne Jefferson is a Professional Counselor based in Hogansville, GA and is specialized in Professional. Cowenda Shavonne Jefferson practices in Hogansville, GA and has the professional credentials of MALPCNCCCCAADC. The NPI Number for Cowenda Shavonne Jefferson is 1003911348 and holds a License No. 229340 (Georgia).

The current practice location address for Cowenda Shavonne Jefferson is 103 Renae Ln, Hogansville, GA and can be reached out via phone at 762-323-9693.

Location: 103 Renae Ln, Hogansville, GA, 30230-3434
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003911348
Provider Name
Cowenda Shavonne Jefferson
Credential
MALPCNCCCCAADC
Provider Entity Type
Individual
Gender
Female
Address
103 Renae Ln, Hogansville, GA, 30230-3434
Phone Number
762-323-9693
Fax Number
Provider Enumeration Date
09/13/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
103 Renae Ln
City
Hogansville
State
Georgia
Zip
30230
Phone Number
762-323-9693
Fax Number
person
Provider Business Mailing Address Details
Address
103 Renae Ln
City
Hogansville
State
Georgia
Zip
30230
Phone Number
762-323-9693
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
LPC006320 (Georgia)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C0101 (Georgia)
Definition
Definition to come...
person
Provider's Taxonomy Details 3
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
229340 (Georgia)
Definition
Definition to come...
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