Individual
NITSAN YASSIN JAKOB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC M.A
Contact information
Practice address
5375 PRANCING PASS, CUMMING, GA 30040-1330
(469) 389-7464
Mailing address
5375 PRANCING PASS, CUMMING, GA 30040-1330
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC014782
—
Other
Enumeration date
06/17/2024
Last updated
06/17/2024
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