SHANIECE T JEFFERSON

STATEN ISLAND, NY
NPI1831082023
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Additional Taxonomies101Y00000X Counselor
Enumeration Date2025-05-29
Last Update Date2025-05-29
Business Address
SHANIECE T JEFFERSON Master
220 HEBERTON AVE
STATEN ISLAND, NY 10302-1415
Phone number: 718-448-1900
Mailing Address
SHANIECE T JEFFERSON Master
495 HENDRIX ST APT 3A
BROOKLYN, NY 11207-4341
Phone number: 347-955-7886
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