PROF. Faith Ilesha Jefferson

NPI #1093399800 in Tulsa, Oklahoma

Provider Information

NPI Number: 1093399800
Entity Type: Individual
Name: PROF. Faith Ilesha Jefferson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Peer Specialist
Enumeration Date: May 7, 2021
Last Updated: May 7, 2021

Practice Location

Address: 228 S 101ST EAST AVE
City: Tulsa
State: Oklahoma
ZIP Code: 74128-1232
Phone: (918) 779-8983

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Peer Specialist	175T00000X	Primary

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