Individual
JESSICA TERRELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1289 GI MADDOX PKWY, CHATSWORTH, GA 30705-2069
(706) 971-3366
(706) 426-0949
Mailing address
1289 GI MADDOX PKWY, CHATSWORTH, GA 30705-2069
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
12/02/2021
Last updated
06/23/2022
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