Individual
AVERIE JACQUELINE BOOTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
450 MALL BULV, SUITE E, SAVANNAH, GA 31406
(912) 349-4955
Mailing address
450 MALL BLVD STE E, SAVANNAH, GA 31406-4864
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC009921
GA
Other
Enumeration date
01/16/2025
Last updated
01/16/2025
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