Jefferson, Laquanda

Jefferson, Laquanda is an sole proprietor health care provider with primary practice located at 870 Crestmark Dr Ste 103 , Lithia Springs GA 30122-2665. She recently has 5 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Behavioral Analyst, Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Behavior Technician, Other Service Providers / Case Manager/Care Coordinator, Student, Health Care / Student in an Organized Health Care Education/Training Program. Student, Health Care / Student in an Organized Health Care Education/Training Program is her primary health care specialty. Jefferson, Laquanda can be contacted via phone (770) 672-0376.

Contact Information

Primary practice address
870 Crestmark Dr Ste 103 Lithia Springs GA 30122-2665
Phone: (770) 672-0376
Fax: (770) 672-0376
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavioral Analyst 103K00000X
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X

Profile Details

NPI number 1104340256
LBN Legal business name Jefferson, Laquanda
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 31st, 2017
Last updated Jul 31st, 2017 - about 7 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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