Individual
DR. JODY S. TARLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSY., LPC
Contact information
Practice address
3192 SPRING ST NW, COVINGTON, GA 30014-2269
(678) 628-4268
Mailing address
3192 SPRING ST NW, COVINGTON, GA 30014-2269
(678) 628-4268
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002122
GA
Other
Enumeration date
09/23/2013
Last updated
09/23/2013
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