person
Dr. Philicia Jefferson, PHD
Professional Counselor in Fredericksburg, Virginia
NPI 1730102518

Philicia Jefferson is a Professional Counselor based in Fredericksburg, VA and is specialized in Professional. Philicia Jefferson practices in Fredericksburg, VA and has the professional credentials of PHD. The NPI Number for Philicia Jefferson is 1730102518 and holds a License No. 0701003090 (Virginia).

The current practice location address for Philicia Jefferson is 4936 Southpoint Pkwy, Fredericksburg, VA and can be reached out via phone at 540-710-0520. You can also correspond with Philicia Jefferson through the mailing address at PO BOX 42111, FREDERICKSBURG, VA - 22404-2111 (mailing address contact number: 703-490-1714).

Location: 4936 Southpoint Pkwy, Fredericksburg, VA, 22404-2111
person
Provider Profile Details
NPI Number
1730102518
Provider Name
Philicia Jefferson
Credential
PHD
Provider Entity Type
Individual
Gender
Female
Address
4936 Southpoint Pkwy, Fredericksburg, VA, 22404-2111
Phone Number
540-710-0520
Fax Number
Provider Enumeration Date
07/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
441462 01 VA ANTHEM
005411041 05 VA
258225000 01 VA MAGELLAN
258225000 01 MD MEGALLEN
institution
Provider Business Practice Location Address Details
Address
4936 Southpoint Pkwy
City
State
Zip
22407-2659
Phone Number
540-710-0520
Fax Number
person
Provider Business Mailing Address Details
Address
Po Box 42111
City
State
Zip
22404-2111
Phone Number
703-490-1714
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
0701003090 (Virginia)
Definition
Definition to come...
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