Individual provider · Type 1 NPI

Frederick Jefferson, LPC, CADC

Mental Health Counselor · Bellwood, IL

NPI number 1881332955 Active

Practice location

1034 30th Ave
Bellwood, IL 60104-2442

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X178017761 (IL)

Mental Health Counselor: Definition to come...

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About NPI 1881332955

Frederick Jefferson, LPC, CADC's National Provider Identifier is 1881332955, issued on May 26, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bellwood, IL. The record was last updated on Feb 25, 2025.