Individual provider · Type 1 NPI
Destiny Jefferson, LPC-ASSOCIATE
Professional Counselor · Dallas, TX
NPI number
1346176302
Active
Practice location
6301 Gaston Ave
Dallas, TX 75214-3922
Mailing address
2539 Club Terrace Dr
Dallas, TX 75237-2707
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
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About NPI 1346176302
Destiny Jefferson, LPC-ASSOCIATE's National Provider Identifier is 1346176302, issued on Jun 18, 2026. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Dallas, TX. The record was last updated on Jun 18, 2026.