| NPI | 1881130748 |
|---|---|
| Former Legal Business Name | DARA JEFFERS LLC |
| Entity Type | Organization |
| Authorized Contact | DARA JEFFERS DENTON Therapist/Owner 612-723-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: IL 180.009738) |
| Enumeration Date | 2017-01-16 |
| Last Update Date | 2021-06-15 |