Organization
CLEAR LIFE COUNSELING & TESTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KYRSTIN JIMENEZ PHD (CEO)
(469) 525-9670
Entity
Organization
Contact information
Practice address
5830 BOND ST STE 300, CUMMING, GA 30040-0312
(469) 525-9670
Mailing address
5830 BOND ST STE 300, CUMMING, GA 30040-0312
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1780929422
PERSONAL NPI
TX
Enumeration date
07/08/2021
Last updated
07/08/2021
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