Individual
JENNIFER WOOLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1215 HIGHTOWER TRL, ATLANTA, GA 30350-6244
(845) 536-0654
Mailing address
822 PINHURST DR, ATLANTA, GA 30339-5816
(845) 536-0654
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
005974
GA
1041C0700X
Clinical Social Worker
Primary
005974
GA
Other
Enumeration date
06/28/2012
Last updated
08/09/2017
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