Individual provider · Type 1 NPI

Stannetta Shonnae Jefferson, MED

Mental Health Counselor · Villa Rica, GA

NPI number 1780555607 Active

Practice location

1836 Carrollton Villa Rica Hwy Ste 103
Villa Rica, GA 30180-5193

Call (404) 955-8558 Map

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

3 other providers at this address

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About NPI 1780555607

Stannetta Shonnae Jefferson, MED's National Provider Identifier is 1780555607, issued on Sep 15, 2025. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Villa Rica, GA. The record was last updated on Oct 24, 2025.