Mikel Michele Jefferson

NPI #1013262591 in Edmond, Oklahoma

Provider Information

NPI Number: 1013262591
Entity Type: Individual
Name: Mikel Michele Jefferson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Professional
Enumeration Date: Jul 19, 2012
Last Updated: Jul 19, 2012

Practice Location

Address: 2104 NW 157TH TER
City: Edmond
State: Oklahoma
ZIP Code: 73013-1730
Phone: (405) 761-4464

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary

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