Individual
JESSICA RINGSMUTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2376 MAIN ST STE A, TUCKER, GA 30084-4492
(470) 658-0710
Mailing address
2622 REGENCY DR W, TUCKER, GA 30084-2331
(470) 659-0710
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
006449
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LPC006449
LICENCED PROFESSIONAL COUNSELOR
GA
Enumeration date
08/23/2020
Last updated
08/23/2020
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