Provider Demographics
NPI:1417453572
Name:JEFFERS WILKINS, NATALIE A (MA, CAC II, CSAT)
Entity Type:Individual
Prefix:
First Name:NATALIE
Middle Name:A
Last Name:JEFFERS WILKINS
Suffix:
Gender:F
Credentials:MA, CAC II, CSAT
Other - Prefix:
Other - First Name:NATALIE
Other - Middle Name:A
Other - Last Name:JEFFERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, CAC II, CSAT
Mailing Address - Street 1:1536 S JERSEY ST
Mailing Address - Street 2:
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80224-1935
Mailing Address - Country:US
Mailing Address - Phone:303-337-8558
Mailing Address - Fax:
Practice Address - Street 1:4155 E JEWELL AVE STE 400B
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80222-4510
Practice Address - Country:US
Practice Address - Phone:303-337-8558
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-05
Last Update Date:2018-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COACB.0007509101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)