Individual provider · Type 1 NPI

Edward Mancile Jefferson Jr.

Professional Counselor · Lansing, MI

NPI number 1891203998 Active

Practice location

2800 W Willow St
Lansing, MI 48917-1833

Call (517) 323-4734 Map

Fax (517) 886-1158

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X6401015665 (MI)

Professional Counselor: Definition to come...

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About NPI 1891203998

Edward Mancile Jefferson Jr.'s National Provider Identifier is 1891203998, issued on Jan 11, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Lansing, MI. The record was last updated on Jan 11, 2018.