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Organization
YOUTHERAPY
Active
Organization
YOUTHERAPY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACQUELINE JONES MA, LAPC, NCC (MENTAL HEALTH COUNSELOR/CEO)
(248) 796-1587
Entity
Organization
Contact information
Practice address
430 NORTHSIDE DR EAST, SUITE 160 MB326, STATESBORO, GA 30458
(248) 796-1587
Mailing address
430 NORTHSIDE DR EAST, SUITE 160 MB326, STATESBORO, GA 30458
(248) 796-1587
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/07/2019
Last updated
01/07/2019
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