Provider Demographics
NPI:1578338125
Name:JEFFERS, SASCHA DIANE (LCPC)
Entity Type:Individual
Prefix:
First Name:SASCHA
Middle Name:DIANE
Last Name:JEFFERS
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:71 S HILLS RD
Mailing Address - Street 2:
Mailing Address - City:CLANCY
Mailing Address - State:MT
Mailing Address - Zip Code:59634-9785
Mailing Address - Country:US
Mailing Address - Phone:406-890-9158
Mailing Address - Fax:
Practice Address - Street 1:2620 SHODAIR DR
Practice Address - Street 2:
Practice Address - City:HELENA
Practice Address - State:MT
Practice Address - Zip Code:59604
Practice Address - Country:US
Practice Address - Phone:406-441-1648
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-11-22
Last Update Date:2023-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MTBBH-LCPC-LIC-64963101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health