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Organization

HEALING OUTREACH PURPOSE EMPOWERMENT

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JARED WASHINGTON LPC (THERAPIST)
(908) 344-7874
Entity
Organization

Contact information

Practice address
6349 WEDGEVIEW DR, TUCKER, GA 30084-8768
(404) 884-8176
Mailing address
645 PARIS DR, LAWRENCEVILLE, GA 30043-6138
(908) 344-7874

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
09/12/2021
Last updated
09/12/2021
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