Individual
JESSICA HILLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
114 WHISPER LN, PORTAL, GA 30450-0001
(217) 273-0289
Mailing address
114 WHISPER LN, PORTAL, GA 30450-0001
(217) 273-0289
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC009442
GA
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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