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NPI Code Detail

MEDICARE: CHRISTINA LYNN JEFFERY

MEDICARE: CHRISTINA LYNN JEFFERY
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorC.2002602OH
2101YA0400XAddiction (Substance Use Disorder) CounselorLICDC.161762OH

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1043741861
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHRISTINA LYNN JEFFERY
Provider Business Mailing Address
First Line : 6460 HARRISON AVE STE 200
Second Line :
City : CINCINNATI
State : OH
Zip : 45247-7821
Country : US
Telephone Number : 513-941-4999
Fax Number : 513-694-0168
Provider Business Practice Location Address
First Line : 247 CIC BLVD
Second Line :
City : WEST UNION
State : OH
Zip : 45693-7512
Country : US
Telephone Number : 513-941-4999
Fax Number : 513-694-0168
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/23/2017
Last Update Date : 03/24/2026

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Directions to “ CHRISTINA LYNN JEFFERY ” Practice Location

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