ANTAWNY JEFFERSON

LOS ANGELES, CA
NPI1851958045
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: CA  17924)
Enumeration Date2019-05-22
Last Update Date2025-10-03
Business Address
ANTAWNY JEFFERSON Certified Counselor
12021 WILMINGTON AVE
LOS ANGELES, CA 90059-3019
Phone number: 424-454-6041
Mailing Address
ANTAWNY JEFFERSON Certified Counselor
1563 MISSION ST
SAN FRANCISCO, CA 94103-2543
Phone number: 415-762-3700