Individual
MS. JESSICA ROBERTS BROTHERS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1020 BARBER CREEK DR STE 213, WATKINSVILLE, GA 30677-5984
(770) 241-1593
Mailing address
688 ANSLEY CT, WINDER, GA 30680-2762
(770) 241-1593
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
007770
GA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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