Individual
GISELLE AMARIS JACOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
1244 CLAIRMONT RD STE 204, DECATUR, GA 30030-1263
(404) 818-6535
Mailing address
275 13TH ST NE APT 107, ATLANTA, GA 30309-3697
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
05/28/2021
Last updated
05/28/2021
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