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Organization
YOUR PATH TELETHERAPY
Active
Organization
YOUR PATH TELETHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANASTASIA JARRETT (OWNER)
(931) 273-7284
Entity
Organization
Contact information
Practice address
7505 CRAIG DR, FORT BENNING, GA 31905-7905
(901) 273-7284
Mailing address
7505 CRAIG DR, FORT BENNING, GA 31905-7905
(901) 273-7284
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
01/01/2022
Last updated
01/01/2022
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