Individual
JESSICA ESMERALDA SALGADO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
6197 PEMBROKE DR, REX, GA 30273-1245
(678) 435-6530
Mailing address
6197 PEMBROKE DR, REX, GA 30273-1245
(678) 435-6530
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC013579
GA
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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