Individual
DR. LAKEACHA M JETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
124 S MAIN ST, SUITE 2A, JONESBORO, GA 30236-3599
(404) 953-2590
Mailing address
155 HUMBOLDT DR, FAYETTEVILLE, GA 30214-2026
(404) 953-2590
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/10/2014
Last updated
10/10/2014
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