Individual
JESSICA GANT SEXTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
300 BROADWAY AVE, BRASELTON, GA 30517
(470) 236-8131
Mailing address
PO BOX 637, BRASELTON, GA 30517-0011
(470) 236-8131
(706) 824-1870
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC005141
GA
Other
Enumeration date
08/16/2018
Last updated
08/16/2018
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