Marie Antionette Jefferson
Marie Antionette Jefferson is an Addiction (Substance Use Disorder) Counselor in Santa Rosa, California. Registered with an NPI since 2010.
- In the registry since
- 2010
Practice location Address checks out
98 Hendley StSanta Rosa, CA 95404-5025
Phone: (707) 527-0712
Fax: (707) 527-6048
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Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X |
|---|
Record details
| NPI number | 1144539495 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | October 5, 2010 |
| Last updated in NPPES | February 26, 2016 |
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