Individual
JESSICA ANN FRITTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
1120 15TH ST, AUGUSTA, GA 30912-3289
(706) 721-8623
Mailing address
1120 15TH ST # OR6000, AUGUSTA, GA 30912-0004
(706) 721-3813
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
70669
TX
103TC0700X
Clinical Psychologist
Primary
004625
GA
Other
Enumeration date
02/19/2015
Last updated
05/15/2024
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