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MRS. COWENDA SHAVONNE JEFFERSON MA LPC NCC CCAADC
>> Counselor >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1003911348
Individual Registrant:MRS. COWENDA SHAVONNE JEFFERSON MA LPC NCC CCAADC
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
103 RENAE LN HOGANSVILLE, GA 30230 US
Tel: 762-323-9693 Fax: --
Tel: 762-323-9693 Fax: --
Contact information for business:
103 RENAE LN HOGANSVILLE, GA 30230-3434 US
Tel: 762-323-9693 Fax: --
Tel: 762-323-9693 Fax: --
Registration Information:
NPI: 1003911348
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| N | 101Y00000X | Behavioral Health & Social Service Providers Counselor | GA | 229340 |
| N | 101YA0400X | Behavioral Health & Social Service Providers Counselor | GA | C0101 |
| Y | 101YP2500X | Behavioral Health & Social Service Providers Counselor | GA | LPC006320 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
