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Contact Information

JALEESA JEFFERY
13585 SAN PABLO AVE
SAN PABLO, CA94806
 Phone: 510-854-0720
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for JALEESA JEFFERY · (Female)

NPI # 1154022481
Status Active
Credentials
Entity Individual
Enumeration date 03/14/2023
Last updated 08/08/2025 - About 10 months ago
Sole proprietor 1 No
Identifiers
  • CA License # 130325
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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