Provider Demographics
NPI:1023746518
Name:JEFFRIES, JILL (RCSWI)
Entity type:Individual
Prefix:
First Name:JILL
Middle Name:
Last Name:JEFFRIES
Suffix:
Gender:F
Credentials:RCSWI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8849 WATERMAN CT
Mailing Address - Street 2:
Mailing Address - City:NEW PORT RICHEY
Mailing Address - State:FL
Mailing Address - Zip Code:34654-4216
Mailing Address - Country:US
Mailing Address - Phone:615-476-3674
Mailing Address - Fax:
Practice Address - Street 1:7524 PLATHE RD
Practice Address - Street 2:
Practice Address - City:NEW PORT RICHEY
Practice Address - State:FL
Practice Address - Zip Code:34653-4520
Practice Address - Country:US
Practice Address - Phone:727-835-4166
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-11
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor