Organization
JESSICA CAMP LPC, PC
Active
Other names
Beacon Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA CAMP LPC (OWNER)
(678) 983-8993
Entity
Organization
Contact information
Practice address
327 DAHLONEGA ST, 902B, CUMMING, GA 30040-2480
(678) 983-8993
(800) 690-3302
Mailing address
327 DAHLONEGA ST, 902B, CUMMING, GA 30040-2480
(678) 983-8993
(800) 690-3302
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003153555A
—
GA
Enumeration date
12/20/2016
Last updated
12/20/2016
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