Individual
JAKETA LEENA GROVES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
850 MAYFIELD RD STE 203, MILTON, GA 30009-3012
(470) 805-5040
(678) 268-4550
Mailing address
4800 N SCOTTSDALE RD STE 2500, SCOTTSDALE, AZ 85251-7630
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC014112
GA
Other
Enumeration date
11/09/2023
Last updated
01/08/2026
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