location
search-icon
person
Jennice Jefferson
Addiction (Substance Use Disorder) Counselor in Covina, California
NPI 1205359957

Jennice Jefferson is an Addiction (Substance Use Disorder) Counselor based in Covina, CA and is specialized in Addiction (Substance Use Disorder). Jennice Jefferson practices in Covina, CA. The NPI Number for Jennice Jefferson is 1205359957 and holds a License No. 168324 (California).

The current practice location address for Jennice Jefferson is 17727 E Cypress St, Covina, CA and can be reached out via phone at 626-858-4920.

Location: 17727 E Cypress St, Covina, CA, 91722-2634
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205359957
Provider Name
Jennice Jefferson
Credential
Provider Entity Type
Individual
Gender
Female
Address
17727 E Cypress St, Covina, CA, 91722-2634
Phone Number
626-858-4920
Fax Number
Provider Enumeration Date
07/24/2017
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
168324 01 CA CAADE
institution
Provider Business Practice Location Address Details
Address
17727 E Cypress St
City
Covina
State
California
Zip
91722-2634
Phone Number
626-858-4920
Fax Number
person
Provider Business Mailing Address Details
Address
17727 E Cypress St
City
Covina
State
California
Zip
91722-2634
Phone Number
626-858-4920
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
168324 (California)
Definition
Definition to come...
semi-verified symbol
Badge

Use the following badge on your website to showcase your NPI number and verified status. In a field with over 8 million healthcare providers in the United States, it is important to establish your identity clearly. Displaying this badge signifies that your information is both accurate and up-to-date.