person
Mr. Frederick Jefferson, LPC
Mental Health Counselor in Maywood, Illinois
NPI 1881332955

Frederick Jefferson is a Mental Health Counselor based in Bellwood, IL and is specialized in Mental Health. Frederick Jefferson practices in Maywood, IL and has the professional credentials of LPC. The NPI Number for Frederick Jefferson is 1881332955 and holds a License No. 178017761 (Illinois).

The current practice location address for Frederick Jefferson is 411 Madison St, Maywood, IL and can be reached out via phone at 708-450-3500.

Location: 411 Madison St, Maywood, IL, 60104-2442
person
Provider Profile Details
NPI Number
1881332955
Provider Name
Frederick Jefferson
Credential
LPC
Provider Entity Type
Individual
Gender
Male
Address
411 Madison St, Maywood, IL, 60104-2442
Phone Number
708-450-3500
Fax Number
Provider Enumeration Date
05/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
411 Madison St
City
State
Zip
60153-2136
Phone Number
708-450-3500
Fax Number
person
Provider Business Mailing Address Details
Address
411 Madison St
City
State
Zip
60153-2136
Phone Number
708-450-3500
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
178017761 (Illinois)
Definition
Definition to come...
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