Individual
JESSICA TEARA MERIWETHER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
104 HARWELL AVE, LAGRANGE, GA 30240-3132
(706) 837-0045
Mailing address
4524 SWAN TRCE, ATLANTA, GA 30349-1664
(706) 741-0506
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
Other
Enumeration date
02/03/2022
Last updated
05/09/2024
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