Provider Demographics
NPI:1164793782
Name:JEFFS, PATRICK THOMAS (PHD, LPCA)
Entity Type:Individual
Prefix:DR
First Name:PATRICK
Middle Name:THOMAS
Last Name:JEFFS
Suffix:
Gender:M
Credentials:PHD, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:205 W MAIN ST
Mailing Address - Street 2:205
Mailing Address - City:CARRBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27510-2088
Mailing Address - Country:US
Mailing Address - Phone:919-525-4559
Mailing Address - Fax:
Practice Address - Street 1:205 W MAIN ST
Practice Address - Street 2:205
Practice Address - City:CARRBORO
Practice Address - State:NC
Practice Address - Zip Code:27510-2088
Practice Address - Country:US
Practice Address - Phone:919-525-4559
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-01-13
Last Update Date:2013-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor