Individual
JODI LEIGH CARLTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LPC
Contact information
Practice address
101 COLONY PARK DR, SUITE 200A, CUMMING, GA 30040-2751
(678) 679-7127
Mailing address
23 HIGHLAND POINTE CIR E, DAWSONVILLE, GA 30534-9417
(770) 335-3639
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC003878
GA
101YM0800X
Mental Health Counselor
LPC003878
GA
101YP2500X
Professional Counselor
Primary
LPC003878
GA
Other
Enumeration date
10/26/2006
Last updated
08/22/2016
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