Individual
JENAN TASHA MCNEALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6163 GROVE CREST WAY, AUSTELL, GA 30168-7769
(678) 895-5171
Mailing address
6163 GROVE CREST WAY, AUSTELL, GA 30168-7769
(678) 895-5171
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
015425
GA
Other
Enumeration date
01/12/2026
Last updated
01/12/2026
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