Individual
JENNIFER QUINTANILLA ALEJANDRO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
618 PONDER PLACE DR STE 2, EVANS, GA 30809-3117
(706) 825-8491
(706) 550-0340
Mailing address
618 PONDER PLACE DR STE 2, EVANS, GA 30809-3117
(706) 825-8491
(706) 550-0340
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC006914
GA
Other
Enumeration date
03/12/2007
Last updated
12/11/2017
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