Individual
JESSICA FOSSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRC
Contact information
Practice address
1730 MOUNT VERNON RD STE G, ATLANTA, GA 30338-4245
(770) 815-6853
Mailing address
1160 JOHNSON FY RD NE UNIT 1409, SANDY SPRINGS, GA 30342-2338
(423) 619-7794
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/02/2025
Last updated
04/03/2025
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