Individual
JESSE GAINSBRUGH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
414 N PEACHTREE PKWY, PEACHTREE CITY, GA 30269-1362
(678) 709-5555
Mailing address
414 N PEACHTREE PKWY, PEACHTREE CITY, GA 30269-1362
(678) 709-5555
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC007774
GA
101YP2500X
Professional Counselor
Primary
LPC007774
GA
Other
Enumeration date
04/17/2020
Last updated
05/13/2025
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