KENNYANNA JEFFERSON

FONTANA, CA
NPI1114540598
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy104100000X Social Worker
(Licence: CA  ASW102016)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  102016)
Enumeration Date2020-05-20
Last Update Date2023-12-06
Business Address
KENNYANNA JEFFERSON
17053 FOOTHILL BLVD
FONTANA, CA 92335-3574
Phone number: 909-347-1300
Mailing Address
KENNYANNA JEFFERSON
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-420-9472