Jennice Jefferson Valid NPI

Individual provider · Addiction (Substance Use Disorder) Counselor · Covina, CA

NPI

1205359957

Type

Individual (Type 1)

Primary specialty

Addiction (Substance Use Disorder) Counselor (Counselor)

Specialty group

Behavioral Health & Social Service Providers

Taxonomy code

101YA0400X

License number

168324 (CA)

Sex

Female

Sole proprietor

Yes

Enumerated

2017-07-24

Last updated

2022-07-21