Organization
GWINNETT COUNSELING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON JACKSON LPC (COUNSELOR)
(470) 238-8587
Entity
Organization
Contact information
Practice address
3465 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 30024-7465
(470) 238-8587
(678) 248-9141
Mailing address
3465 LAWRENCEVILLE SUWANEE RD, SUITE A, SUWANEE, GA 30024
(470) 238-8587
(678) 248-9141
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009117
GA
Other
Enumeration date
09/01/2016
Last updated
11/22/2016
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