Individual
MRS. JEA'N DEQUIA TERSHA WYATT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAPC, NCC
Contact information
Practice address
277 HIGHWAY 74 N STE 306, PEACHTREE CITY, GA 30269-1571
(404) 901-6634
Mailing address
6636 SKY LEAF LN, FAIRBURN, GA 30213-6527
(706) 466-2943
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
01/25/2019
Last updated
10/30/2022
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