Doctor Name: | STEPHANIE CECILE SMITH-JEFFERSON |
NPI Number: | 1144422445 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, MAMFT-C |
License Number: | |
Business Practice Address: | 5611 Highway 80 E Crossroads Counseling Center Pearl, MS - 392088929 |
Business Phone Number: | 6019396634 |
Business Fax Number: | 6014209252 |
Mailing Address: | 603 Ladner Ln, MADISON |
State: | MS |
Postal Code: | 391109537 |
Phone Number: | 6019406930 |
Fax Number: | 6014209252 |
NPI Enumeration Date: | 05/31/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | 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 |