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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