Individual
JOVANNA JAVIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
6 SAINT IVES DR, SAVANNAH, GA 31419-8910
(912) 658-0604
Mailing address
6 SAINT IVES DR, SAVANNAH, GA 31419-8910
(912) 658-0604
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110026265E
—
GA
Enumeration date
12/09/2013
Last updated
12/09/2013
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