Organization
REBOOT PSYCHOTHERAPY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS KIMBERLEE JONES LCSW (LICENSED CLINICAL SOCIAL WORKER)
(704) 756-5770
Entity
Organization
Contact information
Practice address
1111 WYNFORD CMNS SW, MARIETTA, GA 30064-3776
(704) 756-5770
Mailing address
1111 WYNFORD CMNS SW, MARIETTA, GA 30064-3776
(704) 756-5770
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
006281
GA
Other
Enumeration date
06/04/2018
Last updated
06/04/2018
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