Provider Demographics
NPI:1346889607
Name:JAMES, JEFFRE SAINT JR (MSCC)
Entity Type:Individual
Prefix:MR
First Name:JEFFRE
Middle Name:SAINT
Last Name:JAMES
Suffix:JR
Gender:M
Credentials:MSCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:639 WALTON AVE
Mailing Address - Street 2:
Mailing Address - City:BEVERLY
Mailing Address - State:NJ
Mailing Address - Zip Code:08010-3524
Mailing Address - Country:US
Mailing Address - Phone:609-906-0870
Mailing Address - Fax:
Practice Address - Street 1:1315 WINDRIM AVE # PA
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19141-2710
Practice Address - Country:US
Practice Address - Phone:609-906-0870
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-01-03
Last Update Date:2020-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional