Individual
JAKETRA BRYANT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1230 PEACHTREE ROAD, SUITE 1900, ATLANTA, GA 30309
(404) 942-3320
Mailing address
1230 PEACHTREE RD, SUITE 1900, ATLANTA, GA 30309
(404) 942-3320
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
APC002807
GA
101YP2500X
Professional Counselor
Primary
LPC007645
GA
Other
Enumeration date
06/21/2012
Last updated
02/11/2014
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