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Individual

MRS. JACLYN HALLUMS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6950 CARLEEN CT, LITHONIA, GA 30038-4609
(404) 317-9295
Mailing address
6950 CARLEEN CT, LITHONIA, GA 30038-4609
(404) 317-9295

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC010475
GA
101YP2500X
Professional Counselor
Primary
LPC010475
GA
101YP2500X
Professional Counselor

Other

Enumeration date
03/02/2012
Last updated
02/16/2021
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