Search › California › 106H00000X
Mark Jefferson, MFTI
NPI 1285160572 · on the registry since 2017 · sole proprietor
Practice
- Address
- 126 W 25th Ave
Suite 200
San Mateo, CA 94403 - Phone
- (510) 409-5391
- Organisation at this address
- Fred Finch Youth Center
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 22
Registry record
- Primary taxonomy
- 106H00000X
106H00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2017-05-04
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California