Individual provider · Type 1 NPI
Cowenda Shavonne Jefferson, MA LPC NCC CCAADC
Professional Counselor · Hogansville, GA
NPI number
1003911348
Active
Practice location
103 Renae Ln
Hogansville, GA 30230
Other practice locations
- 120 Gordon Commercial Dr Ste B, Lagrange, GA 30240-5753 · (706) 845-4054
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor | 101Y00000X | 229340 (GA) |
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | C0101 (GA) |
| Professional Counselor Primary | 101YP2500X | LPC006320 (GA) |
Professional Counselor: Definition to come...
Other professional counselor providers in Hogansville
About NPI 1003911348
Cowenda Shavonne Jefferson, MA LPC NCC CCAADC's National Provider Identifier is 1003911348, issued on Sep 13, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Hogansville, GA. The record was last updated on May 20, 2019.