Individual provider · Type 1 NPI

Edwin Jefferson

Mental Health Counselor · Shreveport, LA

NPI number 1780197996 Active

Practice location

1717 Marshall St
Shreveport, LA 71101-4139

Call (318) 226-9944 Map

Mailing address

6416 Joy Dr
Shreveport, LA 71119-5110

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1780197996

Edwin Jefferson's National Provider Identifier is 1780197996, issued on Nov 9, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Shreveport, LA. The record was last updated on Nov 9, 2017.