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Organization

AMY JACQUES LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
AMY JACQUES LPC (DIRECTOR)
(678) 632-6169
Entity
Organization

Contact information

Practice address
610 CANDLER ST, GAINESVILLE, GA 30501-3334
(678) 632-6169
(678) 943-1197
Mailing address
2565 THOMPSON BRIDGE RD STE 111, GAINESVILLE, GA 30501-1723
(678) 632-6169

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
101YM0800X
Mental Health Counselor
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
05/26/2021
Last updated
03/30/2023
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