Individual provider · Type 1 NPI
Marie Antionette Jefferson
Addiction (Substance Use Disorder) Counselor · Santa Rosa, CA
NPI number
1144539495
Active
Practice location
98 Hendley St
Santa Rosa, CA 95404-5025
Fax (707) 527-6048
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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- Teri Musser, SUDRC 12678Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003577677
- Sandra C. Cespedes, SUDRC 1Addiction (Substance Use Disorder) Counselor Santa Rosa, CA NPI 1003743006
About NPI 1144539495
Marie Antionette Jefferson's National Provider Identifier is 1144539495, issued on Oct 5, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Santa Rosa, CA. The record was last updated on Feb 26, 2016.