National Provider Identifier
Roderick Bohanan Jeffers, LMHC
Roderick Bohanan Jeffers, LMHC is listed in the NPPES registry with a primary specialty of Mental Health Counselor in Wellsville, NY and a listed phone number of (585) 665-2623.
Profile Overview
- NPI
- 1023356243
- Provider Type
- Individual
- Primary Specialty
- Mental Health Counselor
- Enumeration Date
- January 23, 2013
- Last Updated
- October 11, 2021
Practice Location
- 4194 Bolivar RD
- Wellsville, NY 14895-9325
Phone: (585) 665-2623
Mailing Address
- 23 Witter Ave
- Wellsville, NY 14895-1331
Specialties
- Mental Health Counselor (101YM0800X)
Full Record
- NPI
- 1023356243
- Entity Type
- Individual
- Last Name
- Jeffers
- First Name
- Roderick
- Middle Name
- Bohanan
- Name Prefix
- Mr.
- Credential
- LMHC
- Mailing Street Address
- 23 Witter Ave
- Mailing City
- Wellsville
- Mailing State
- NY
- Mailing ZIP Code
- 14895-1331
- Mailing Country
- US
- Mailing Phone
- (585) 665-2623
- Practice Street Address
- 4194 Bolivar RD
- Practice City
- Wellsville
- Practice State
- NY
- Practice ZIP Code
- 14895-9325
- Practice Country
- US
- Practice Phone
- (585) 665-2623
- Enumeration Date
- January 23, 2013
- Last Updated
- October 11, 2021
- Sex
- Male
- Sole Proprietor
- Yes
- Certification Date
- October 11, 2021
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Mental Health Counselor (101YM0800X)