Individual
JASMINE YVONNE HART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
256 MCMILLAN RD, DACULA, GA 30019-2337
(678) 492-8367
Mailing address
749 SLEW AVE, LAWRENCEVILLE, GA 30043-2455
(678) 492-8367
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC012659
GA
Other
Enumeration date
01/28/2022
Last updated
10/06/2022
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