Mr. Persell Jefferson
Mr. Persell Jefferson is a Clinical Psychologist in Chicago, Illinois. Practices as a sole proprietor. Licensed in Illinois.
- Licensed in
- IL
- In the registry since
- 2023
Practice location Address checks out
11337 S Wallace StChicago, IL 60628-4729
Phone: (773) 698-3088
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Clinical Psychologist (primary) | Taxonomy 103TC0700X · Licence 1110-1110 (IL) |
|---|
Record details
| NPI number | 1992580666 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 30, 2023 |
| Last updated in NPPES | August 30, 2023 |
| Certification date | September 9, 2021 |
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