Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Antawny Jefferson, CERTIFIEDCOUNSELOR

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1851958045

Antawny Jefferson, CERTIFIEDCOUNSELOR is an Addiction (Substance Use Disorder) Counselor in Los Angeles, California. Licensed in California. Registered with an NPI since 2019.

Licensed in
CA
In the registry since
2019

Practice location Address checks out

12021 Wilmington Ave
Los Angeles, CA 90059-3019
Phone: (424) 454-6041
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 17924 (CA)

Record details

NPI number1851958045
Entity typeIndividual (Type 1)
GenderMale
Credentials CERTIFIEDCOUNSELOR
Sole proprietorNo
NPI enumeratedMay 22, 2019
Last updated in NPPESOctober 3, 2025
Certification dateOctober 3, 2025

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