Individual
MS. JESSICA LAUREN MATHISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
800 OLD ROSWELL LAKES PKWY, SUITE 260, ROSWELL, GA 30076-1675
(214) 425-4448
Mailing address
PO BOX 523, ROSWELL, GA 30077-0523
(214) 425-4448
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC007311
GA
Other
Enumeration date
05/14/2014
Last updated
02/13/2020
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