Individual
JESSICA SHERIDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
104 PILGRIM VILLAGE DR STE 300, SUITE 4245, CUMMING, GA 30040-9232
(678) 595-2020
(470) 297-3685
Mailing address
7855 KAYAK WAY, CUMMING, GA 30028-8915
(678) 595-2020
(470) 297-3685
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
MSW005974
GA
1041C0700X
Clinical Social Worker
Primary
005777
GA
Other
Enumeration date
09/02/2014
Last updated
01/12/2017
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