Individual provider · Type 1 NPI
Verlicia Jefferson-Lane
Mental Health Counselor · Stockbridge, GA
NPI number
1265109151
Active
Practice location
124 Oakwood Cir
Stockbridge, GA 30281-6356
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC010235 (GA) |
Mental Health Counselor: Definition to come...
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About NPI 1265109151
Verlicia Jefferson-Lane's National Provider Identifier is 1265109151, issued on Aug 27, 2021. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Stockbridge, GA. The record was last updated on Aug 27, 2021.