Individual
JENNIFER SCOTT SUDDERTH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
745 S MILLEDGE AVE STE A, ATHENS, GA 30605-1291
(770) 389-8100
Mailing address
1737 HEWELL RD NW, DEWY ROSE, GA 30634-2956
(706) 371-4020
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
012819
GA
101YP2500X
Professional Counselor
7371
SC
101YP2500X
Professional Counselor
Primary
LPC012819
GA
Other
Enumeration date
05/31/2016
Last updated
10/30/2024
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