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MAXIMILLIAN A JEFFERIES LPC, NCC, MFT

Professional >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1831529395

Individual Registrant:
 MAXIMILLIAN A JEFFERIES LPC, NCC, MFT
Gender: M
Not Sole Proprietor

Location and contact information for practice:
474 BOXELDER RD  ATLANTA, GA 30349-1673 US
Tel: 470-378-0828  Fax: 678-870-2274

Contact information for business:
474 BOXELDER RD  ATLANTA, GA 30349-1673 US
Tel: 470-378-0828  Fax: --

Registration Information:
NPI: 1831529395
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YP2500XBehavioral Health & Social Service Providers
Counselor
Professional
GALPC007538

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
461399935GA05




HEALTH CARE JOBS GA - Page 1



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