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

Demetrice Tanae Jefferson

Individual provider Mental Health Counselor · NPI 1558617068

Demetrice Tanae Jefferson is a Mental Health Counselor in Las Vegas, Nevada. Practices as a sole proprietor. Registered with an NPI since 2012.

In the registry since
2012

Practice location Address checks out

3320 Sunrise Ave Ste 111
Las Vegas, NV 89101-4853
Phone: (702) 445-6594
Fax: (702) 455-6970
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X

Record details

NPI number1558617068
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 2, 2012
Last updated in NPPESAugust 2, 2012

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