| NPI | 1932716172 |
|---|---|
| Professional Name | JAMES VAN JEFFERSON |
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: SC 15512) |
| Additional Taxonomies | 104100000X Social Worker |
| 104100000X Social Worker (Licence: SC 15512) | |
| Enumeration Date | 2020-09-30 |
| Last Update Date | 2023-07-18 |