Individual
JENNIFER CARMACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 BORDERS WAY STE 500, WARNER ROBINS, GA 31088-8967
(478) 352-0422
Mailing address
103 ED BAYER CT STE 130, WARNER ROBINS, GA 31088-4046
(478) 333-1660
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC13236
GA
Other
Enumeration date
10/17/2022
Last updated
01/23/2024
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