Organization
BREAKTHROUGH COUNSELING, COACHING AND CONSULTING LLC
Active
Organization
BREAKTHROUGH COUNSELING, COACHING AND CONSULTING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANNA AMANDA JEFFERSON MSW, LCSW, LISW-CP/S (DIRECTOR OF CLINICAL OPERATIONS)
(803) 743-2753
Entity
Organization
Contact information
Practice address
2903 GALAHAD WAY, AUGUSTA, GA 30909-9147
(404) 496-4614
(866) 923-0754
Mailing address
PO BOX 29144, ATLANTA, GA 30359-0144
(866) 923-0754
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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