Individual
JASMINE GRANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAPC
Contact information
Practice address
400 MARY ERNA DR, FAIRBURN, GA 30213-2720
(404) 867-3418
Mailing address
400 MARY ERNA DR, FAIRBURN, GA 30213-2720
(404) 867-3418
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006912
GA
Other
Enumeration date
02/09/2022
Last updated
02/09/2022
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