Individual
JESSICA NIKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1592 MARS HILL RD STE B, WATKINSVILLE, GA 30677-4890
(770) 238-2108
Mailing address
1592 MARS HILL RD, WATKINSVILLE, GA 30677-4890
(706) 705-1687
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CSW007183
GA
Other
Enumeration date
07/22/2015
Last updated
04/12/2021
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