Individual
MRS. JENNY MCDADE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
116 PIERCE AVE, MACON, GA 31204-2891
(478) 464-3012
Mailing address
304 PIERCE AVE, MACON, GA 31204-2422
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004697
GA
Other
Enumeration date
05/22/2008
Last updated
05/22/2008
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