Individual
JACOB DREILING
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Mailing address
1814 CLAIRMONT RD, DECATUR, GA 30033-3405
(404) 636-1457
(404) 636-7449
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC007099
GA
Other
Enumeration date
09/17/2019
Last updated
09/17/2019
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