Individual
JILLIAN BLUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
165 DEKALB INDUSTRIAL WAY STE B8, DECATUR, GA 30030-2230
(770) 361-4627
(770) 995-1959
Mailing address
3442 KENSINGTON PARC CIR, AVONDALE ESTATES, GA 30002-1779
(770) 361-4627
(770) 995-1959
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC008814
GA
Other
Enumeration date
07/11/2016
Last updated
09/30/2022
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