Individual
JASHEEN MIZELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2300 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087-6713
(678) 330-1400
Mailing address
2300 W PARK PLACE BLVD, STONE MOUNTAIN, GA 30087-6713
(678) 330-1400
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
12/30/2020
Last updated
12/30/2020
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