Individual
MS. JIVANDA VERMELL GREGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2700 CUMBERLAND PKWY SE, SUITE 120, ATLANTA, GA 30339-3321
(770) 431-0299
(186) 641-6176
Mailing address
2854 AXTON CV, LITHIA SPRINGS, GA 30122-2911
(770) 789-6403
(678) 945-0177
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
005239
GA
Other
Enumeration date
04/29/2008
Last updated
04/29/2008
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