Individual provider · Type 1 NPI

Donetta Jefferson

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1790142388 Active

Practice location

310 Harris Ave Ste A
Sacramento, CA 95838-3249

Call (916) 649-6793 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XC15691214 (CA)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1790142388

Donetta Jefferson's National Provider Identifier is 1790142388, issued on Jan 27, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Jan 27, 2016.