Organization
HUMBLE ROOTS COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JARED POGUE LPC (PROFESSIONAL COUNSELOR)
(770) 595-6924
Entity
Organization
Contact information
Practice address
687 QUEEN ST SW, ATLANTA, GA 30310-2611
(770) 595-6924
Mailing address
687 QUEEN ST SW, ATLANTA, GA 30310-2611
(770) 595-6924
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
08/27/2019
Last updated
08/27/2019
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