Provider Demographics
NPI:1033194394
Name:JAFFE, STEFFANI L (LMHC)
Entity Type:Individual
Prefix:MRS
First Name:STEFFANI
Middle Name:L
Last Name:JAFFE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
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Mailing Address - Street 1:1040 WESTON RD
Mailing Address - Street 2:CHILD AND FAMILY PSYCHOLOGISTS SUITE 210
Mailing Address - City:WESTON
Mailing Address - State:FL
Mailing Address - Zip Code:33326-1978
Mailing Address - Country:US
Mailing Address - Phone:954-349-2777
Mailing Address - Fax:954-349-3440
Practice Address - Street 1:1040 WESTON RD
Practice Address - Street 2:CHILD AND FAMILY PSYCHOLOGISTS SUITE 210
Practice Address - City:WESTON
Practice Address - State:FL
Practice Address - Zip Code:33326-1978
Practice Address - Country:US
Practice Address - Phone:954-349-2777
Practice Address - Fax:954-349-3440
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-12-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
FLMH5384101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health