Paul Leon Jefferson, - Counselor in Santa Monica, CA

Paul Leon Jefferson, is a Counselor - Addiction (substance Use Disorder) based in Santa Monica, California. Paul Leon Jefferson is licensed to practice in * (Not Available) (license number ) and his current practice location is 1865 9th Street, Santa Monica, California. He can be reached at his office (for appointments etc.) via phone at (310) 314-6200.

NPI number for Paul Leon Jefferson is 1043521362 and his current mailing address is 2644 30th St Ste 100, Santa Monica, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1043521362.

Contact Information

Paul Leon Jefferson,
1865 9th Street,
Santa Monica, CA 90404-4501
(310) 314-6200
Not Available

Healthcare Provider's Profile

Full NamePaul Leon Jefferson
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1865 9th Street, Santa Monica, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1043521362
  • Provider Enumeration Date: 07/01/2010
  • Last Update Date: 03/05/2021

Medical Identifiers

Medical identifiers for Paul Leon Jefferson such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1043521362NPI-NPPES
1512013461MedicaidCA

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YM0800XCounselor - Mental Health (* (Not Available))Secondary
171M00000XCase Manager/care Coordinator (* (Not Available))Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Paul Leon Jefferson is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Paul Leon Jefferson,
2644 30th St Ste 100,
Santa Monica, CA 90405-3051

Ph: (310) 314-6200
Paul Leon Jefferson,
1865 9th Street,
Santa Monica, CA 90404-4501

Ph: (310) 314-6200

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› Verified 7 days ago


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