Individual
MRS. JENNIFER L STUCKERT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MFT, LPC
Contact information
Practice address
595 COLONIAL PARK DR STE 102, ROSWELL, GA 30075-3760
(678) 534-3824
(678) 534-3824
Mailing address
595 COLONIAL PARK DR STE 102, ROSWELL, GA 30075-3760
(678) 534-3824
(678) 534-3824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004704
GA
Other
Enumeration date
10/06/2011
Last updated
10/06/2011
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