Individual provider · Type 1 NPI

Fannie Jefferson, MA

Counselor · Memphis, TN

NPI number 1508511460 Active

Practice location

2579 Douglass Ave
Memphis, TN 38114-2532

Call (901) 576-3224 Map

Mailing address

2220 Union Ave
Memphis, TN 38104-4315

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1508511460

Fannie Jefferson, MA's National Provider Identifier is 1508511460, issued on Feb 18, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Memphis, TN. The record was last updated on Feb 18, 2022.