Organization
ASH AND ASPIRATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID L JAQUESS PHD (OWNER)
(470) 337-9695
Entity
Organization
Contact information
Practice address
1050 CROWN POINTE PKWY STE 500, DUNWOODY, GA 30338-7702
(470) 337-9695
Mailing address
1050 CROWN POINTE PKWY STE 500, DUNWOODY, GA 30338-7702
(470) 337-9695
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1437230760
NPPES NPI
—
Enumeration date
12/02/2019
Last updated
12/02/2019
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