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Organization
HEALING OUTREACH PURPOSE EMPOWERMENT
Active
Organization
HEALING OUTREACH PURPOSE EMPOWERMENT
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED WASHINGTON LPC (THERAPIST)
(908) 344-7874
Entity
Organization
Contact information
Practice address
6349 WEDGEVIEW DR, TUCKER, GA 30084-8768
(404) 884-8176
Mailing address
645 PARIS DR, LAWRENCEVILLE, GA 30043-6138
(908) 344-7874
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
09/12/2021
Last updated
09/12/2021
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