Shaquan L Jefferson

NPI #1245956424 in Brown Deer, Wisconsin

Provider Information

NPI Number: 1245956424
Entity Type: Individual
Name: Shaquan L Jefferson
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Oct 18, 2022
Last Updated: Oct 18, 2022

Practice Location

Address: 5600 W BROWN DEER RD
City: Brown Deer
State: Wisconsin
ZIP Code: 53223-2311
Phone: (414) 446-8154

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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