Individual
MS. JESSE M HARRIS BATHRICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
675 SEMINOLE AVE NE, SUITE 107, ATLANTA, GA 30307-3408
(404) 873-6840
(404) 881-8410
Mailing address
675 SEMINOLE AVE NE, SUITE 107, ATLANTA, GA 30307-3408
(404) 873-6840
(404) 881-8410
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
000439
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000436
LICENSE NUMBER
GA
Enumeration date
05/15/2007
Last updated
07/08/2007
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