FANNIE JEFFERSON MA
NPI 1508511460
Counselor in Memphis, TN
- Individual
- Female
- Counselor
About FANNIE JEFFERSON
This page provides the complete NPI Profile along with additional information for Fannie Jefferson, a provider established in Memphis, Tennessee with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1508511460 assigned on February 2022. The practitioner's primary taxonomy code is 101Y00000X. The provider is registered as an individual and her NPI record was last updated 4 years ago.
- NPI
- 1508511460 Verify this NPI
- Provider Name
- FANNIE JEFFERSON MA
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 2579 DOUGLASS AVE MEMPHIS, TN 38114
- Location Phone
- (901) 576-3224
- Mailing Address
- 2220 UNION AVE MEMPHIS, TN 38104
- Mailing Phone
- (901) 567-3554
- Is Sole Proprietor?
- No
- Enumeration Date
- 02-18-2022
- Last Update Date
- 02-18-2022
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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Other Providers at the Same Location
The following 6 providers are registered at the same or a nearby location.
MEMPHIS, TN 38114
MEMPHIS, TN 38114
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1508511460, enumerated as an "individual" on February 18, 2022.
The provider is located at 2579 DOUGLASS AVE MEMPHIS, TN 38114 and the phone number is (901) 576-3224.
Counselor with taxonomy code 101Y00000X.
