Organization
JERVON D HAMILTON COUNSELING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JERVON HAMILTON LPC (COUNSELOR/DIRECTOR)
(404) 665-7718
Entity
Organization
Contact information
Practice address
7255 JUMPERS TRL, FAIRBURN, GA 30213-4813
(404) 665-7718
Mailing address
7255 JUMPERS TRL, FAIRBURN, GA 30213-4813
(404) 665-7718
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC009947
GA
Other
Enumeration date
06/25/2018
Last updated
06/25/2018
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