Provider Demographics
NPI:1871786160
Name:JEFFRIES, LINDSAY D (LPC)
Entity type:Individual
Prefix:
First Name:LINDSAY
Middle Name:D
Last Name:JEFFRIES
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4485 WESTMINSTER PL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-1812
Mailing Address - Country:US
Mailing Address - Phone:314-348-7259
Mailing Address - Fax:314-535-6632
Practice Address - Street 1:4485 WESTMINSTER PL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63108-1812
Practice Address - Country:US
Practice Address - Phone:314-348-7259
Practice Address - Fax:314-535-6632
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2014-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2011033843101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor