Individual
JEREMY HALLOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2850 JOHNSON FERRY RD STE 200250, MARIETTA, GA 30062-5684
(678) 691-8130
Mailing address
2850 JOHNSON FERRY RD STE 200250, MARIETTA, GA 30062-5684
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC008004
GA
Other
Enumeration date
09/16/2021
Last updated
09/16/2021
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