Most Relevant Information
Provider Data
| NPI Number: | 1003321746 |
| Provider Name: | CHRISTOPHER A JEFFERSON |
| Entity Type: | Individual |
| Taxonomy Code: | 101YM0800X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 12/04/2017 |
| Last Updated: | 12/04/2017 |
Provider Practice Location
380 ENCINAL ST STE 200
SANTA CRUZ
CA
950602178
Practice Location Phone/Fax
| Phone: | 8314691700 |
| Fax: | 8314251905 |
Provider Mailing Location
380 ENCINAL ST STE 200
SANTA CRUZ
CA
950602178
Provider Mailing Phone/Fax
| Phone: | 8314691700 |
| Fax: | 8314251905 |