Individual
MS. JAIME PENN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2226 ACAPULCO DR APT C, AUGUSTA, GA 30906-2376
(706) 750-9442
Mailing address
PO BOX 16441, AUGUSTA, GA 30919-2441
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/12/2022
Last updated
10/12/2022
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