Individual
JIMMY ENOBABOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
175 GWINNETT DR, LAWRENCEVILLE, GA 30046-8444
(678) 209-2394
Mailing address
244 COMMERCE DR, DECATUR, GA 30030-1966
(817) 987-3385
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
009486
GA
Other
Enumeration date
08/22/2023
Last updated
01/15/2026
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