Provider Demographics
NPI:1629569207
Name:JEFFERY, BRITTANY (LMHC)
Entity Type:Individual
Prefix:
First Name:BRITTANY
Middle Name:
Last Name:JEFFERY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 SLED RD
Mailing Address - Street 2:
Mailing Address - City:ASHBURNHAM
Mailing Address - State:MA
Mailing Address - Zip Code:01430-3013
Mailing Address - Country:US
Mailing Address - Phone:978-866-8388
Mailing Address - Fax:
Practice Address - Street 1:101 MECHANIC ST
Practice Address - Street 2:
Practice Address - City:GARDNER
Practice Address - State:MA
Practice Address - Zip Code:01440-3119
Practice Address - Country:US
Practice Address - Phone:978-571-6365
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-20
Last Update Date:2018-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA10579101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health