Individual
JENNIFER CARLSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1640 POWERS FERRY RD SE, BUILDING 2 STE 150, MARIETTA, GA 30067
(770) 726-9624
Mailing address
1640 POWERS FERRY RD SE, BUILDING 2 STE 150, MARIETTA, GA 30067
(770) 726-9624
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010544
GA
Other
Enumeration date
01/15/2019
Last updated
01/15/2019
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