Individual
JESSICA HOCUTT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAMFT, LAPC
Contact information
Practice address
3138 GOLF RIDGE BLVD, SUITE 101, DOUGLASVILLE, GA 30135-1943
(770) 364-6561
Mailing address
2125 LAKEVIEW PKWY, VILLA RICA, GA 30180-8076
(770) 364-6561
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
002148
GA
106H00000X
Marriage & Family Therapist
Primary
AMFT000163
GA
Other
Enumeration date
03/22/2010
Last updated
03/22/2010
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