MRS. COWENDA SHAVONNE JEFFERSON MA LPC NCC CCAADC
NPI 1003911348
Counselor - Professional in Hogansville, GA

Active since September 13, 2006
103 RENAE LN, HOGANSVILLE, GA 30230(762) 323-9693 Get Directions Write a Review

NPPES record last updated: May 20, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Cowenda Shavonne Jefferson Ma Lpc Ncc Ccaadc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. COWENDA SHAVONNE JEFFERSON MA LPC NCC CCAADC (NPI 1003911348) is an individual professional provider in Hogansville, Georgia, licensed in Georgia (LPC006320) and active in the NPI registry since September 2006. She maintains a secondary practice location in Lagrange.

NPPES Registry Identity

NPI1003911348
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameMRS. COWENDA SHAVONNE JEFFERSONCredential: MA LPC NCC CCAADC
Location Address103 RENAE LNHogansville, GA 30230
Mailing Address103 Renae LnHogansville, GA 30230-3434 · (762) 323-9693
Sole ProprietorNo
Enumeration DateSeptember 13, 2006
Last NPPES UpdateMay 20, 2019
NPI 1003911348 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License Licensed in GA · LPC006320
Also ListedCounselorTaxonomy 101Y00000X · License 229340 (GA)
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X · License C0101 (GA)
103 RENAE LN, Hogansville, GA 30230

Secondary Practice Location 1

Location 1120 Gordon Commercial Dr Ste BLaGrange, GA 30240-5753 · Phone (706) 845-4054 ext. 5142 · Fax (706) 845-4430

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Cowenda Jefferson's NPI number?

The NPI number for Cowenda Jefferson is 1003911348. It was assigned to this individual provider in the NPPES registry on September 13, 2006.

Where is Cowenda Jefferson located?

Cowenda Jefferson practices at 103 Renae Ln, Hogansville, GA 30230. The listed phone number is (762) 323-9693.

What is Cowenda Jefferson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Professional, with taxonomy code 101YP2500X.

When was this NPI record last updated?

The NPPES record for Cowenda Jefferson was last updated on May 20, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.