Individual
JARVIS LIONEL HOWARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
4405 MALL BLVD, UNION CITY, GA 30291-2044
(770) 756-6495
Mailing address
3207 KATOMARICK DR SE, ATLANTA, GA 30354-2507
(404) 788-7987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008320
GA
Other
Enumeration date
06/25/2025
Last updated
06/25/2025
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