MS. CANDIDA D JEFFERSON MSW, RBT
NPI 1033840194
Counselor - Mental Health in Killeen, TX
Active since June 20, 2022
About Ms. Candida D Jefferson Msw, Rbt NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MS. CANDIDA D JEFFERSON MSW, RBT (NPI 1033840194) is an individual mental health provider in Killeen, Texas and active in the NPI registry since June 2022.
NPPES Registry Identity
NPI1033840194
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMS. CANDIDA D JEFFERSONCredential: MSW, RBT
Location Address304 W ORION DRKilleen, TX 76542-6630
Mailing Address304 W Orion DrKilleen, TX 76542-6630 · (254) 964-7936
Phone(254) 964-7936
Sole ProprietorYes
Enumeration DateJune 20, 2022
NPPES CertifiedJune 20, 2022
✔ NPI 1033840194 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
304 W ORION DR, Killeen, TX 76542
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033840194, enumerated as an "individual" on June 20, 2022.
The provider is located at 304 W ORION DR KILLEEN, TX 76542 and the phone number is (254) 964-7936.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
