MARIE ANTIONETTE JEFFERSON
NPI 1144539495
Counselor - Addiction (Substance Use Disorder) in Santa Rosa, CA

Active since October 05, 2010
98 HENDLEY ST, SANTA ROSA, CA 95404(707) 527-0712(707) 527-6048 Get Directions Write a Review

NPPES record last updated: February 26, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Marie Antionette Jefferson NPPES

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

MARIE ANTIONETTE JEFFERSON (NPI 1144539495) is an individual addiction (substance use disorder) provider in Santa Rosa, California and active in the NPI registry since October 2010.

NPPES Registry Identity

NPI1144539495
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameMARIE ANTIONETTE JEFFERSON
Location Address98 HENDLEY STSanta Rosa, CA 95404-5025
Mailing Address98 Hendley StSanta Rosa, CA 95404-5025 · (707) 527-0712 · Fax (707) 527-6048
Fax(707) 527-6048
Sole ProprietorNo
Enumeration DateOctober 5, 2010
Last NPPES UpdateFebruary 26, 2016
NPI 1144539495 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
98 HENDLEY ST, Santa Rosa, CA 95404

Other Identifiers 1

Other6789CA · Medical

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Substance Abuse Rehabilitation Facility
98 HENDLEY ST
SANTA ROSA, CA 95404
Substance Abuse Rehabilitation Facility (Substance Abuse Treatment, Children)
98 HENDLEY ST
SANTA ROSA, CA 95404
Substance Abuse Rehabilitation Facility
98 HENDLEY ST
SANTA ROSA, CA 95404
Counselor (Addiction (Substance Use Disorder))
98 HENDLEY ST
SANTA ROSA, CA 95404
Case Manager/Care Coordinator
98 HENDLEY ST
SANTA ROSA, CA 95404
Counselor (Addiction (Substance Use Disorder))
98 HENDLEY ST
SANTA ROSA, CA 95404
Counselor (Addiction (Substance Use Disorder))
98 HENDLEY ST
SANTA ROSA, CA 95404
Counselor (Addiction (Substance Use Disorder))
98 HENDLEY ST
SANTA ROSA, CA 95404

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 Marie Jefferson's NPI number?

The NPI number for Marie Jefferson is 1144539495. It was assigned to this individual provider in the NPPES registry on October 5, 2010.

Where is Marie Jefferson located?

Marie Jefferson practices at 98 Hendley St, Santa Rosa, CA 95404. The listed phone number is (707) 527-0712.

What is Marie Jefferson's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Marie Jefferson was last updated on February 26, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.