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Organization
ROSEWOOD PSYCHOTHERAPY AND WELLNESS, LLC
Active
Organization
ROSEWOOD PSYCHOTHERAPY AND WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACQUELINE LOGAN LPC (LICENSED PROFESSIONAL COUNSELOR)
(404) 382-8788
Entity
Organization
Contact information
Practice address
108 E PONCE DE LEON AVE STE 204, DECATUR, GA 30030-2512
(404) 382-8788
Mailing address
PO BOX 373119, DECATUR, GA 30037-3119
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/30/2018
Last updated
03/30/2018
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