MRS. COWENDA SHAVONNE JEFFERSON MA LPC NCC CCAADC NPI 1003911348

NPI Information

NPI: 1003911348
Provider Name: MRS. COWENDA SHAVONNE JEFFERSON, MA LPC NCC CCAADC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
103 RENAE LN
HOGANSVILLE, GA
ZIP 30230
Phone: (762) 323-9693
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MRS. Cowenda Shavonne Jefferson, MA LPC NCC CCAADC is a professional counselor in Hogansville, GA. MRS. Cowenda Shavonne Jefferson, MA LPC NCC CCAADC NPI is 1003911348. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

103 RENAE LN
HOGANSVILLE, GA
ZIP 30230
Phone: (762) 323-9693

The enumeration date for this NPI number is 9/13/2006 and was last updated on 5/20/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101Y00000X	Counselor		229340	GEORGIA	No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	C0101	GEORGIA	No
3	101YP2500X	Counselor	Professional	LPC006320	GEORGIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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