Individual
JAKEISHA JANA AUSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
450 PIEDMONT AVE NE, ATLANTA, GA 30308-3455
(404) 375-5295
Mailing address
450 PIEDMONT AVE NE, ATLANTA, GA 30308-3455
(404) 375-5295
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC012651
GA
Other
Enumeration date
02/28/2023
Last updated
02/28/2023
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