Individual
JAMISE R MCCLEOD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
3135 SUNLIGHT DR, AUSTELL, GA 30106-2787
(770) 333-0139
(770) 944-0632
Mailing address
3135 SUNLIGHT DR, AUSTELL, GA 30106-2787
(770) 333-0139
(770) 944-0632
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC004730
GA
Other
Enumeration date
11/07/2006
Last updated
07/08/2007
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