| Jefferson Counseling, LLC | |
|
20 Lee St Ste 5 Jefferson GA 30549-6327 | |
| (770) 286-0120 | |
| Not Available |
| Full Name | Jefferson Counseling, LLC |
|---|---|
| Speciality | Counselor |
| Location | 20 Lee St Ste 5, Jefferson, Georgia |
| Authorized Official Name and Position | Benjamin Harrison (OWNER) |
| Authorized Official Contact | 6788979717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jefferson Counseling, LLC 154 Washington St Jefferson GA 30549-1003 | Jefferson Counseling, LLC 20 Lee St Ste 5 Jefferson GA 30549-6327 Ph: (770) 286-0120 |
| NPI Number | 1346857463 |
|---|---|
| Provider Enumeration Date | 09/24/2020 |
| Last Update Date | 09/24/2020 |
| Certification Date | 09/24/2020 |
| Medicare PECOS PAC ID | 0840788774 |
|---|---|
| Medicare Enrollment ID | O20251023000130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346857463 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | () | Primary |
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