Individual
MS. JENNIFER E. MARKYNA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
300 E HOSPITAL RD, EAMC- RTF- 12 WEST, FT. GORDON, GA 30905-5650
(706) 787-8290
Mailing address
2415 PERSIMMON RD, AUGUSTA, GA 30904
(706) 736-7918
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0744R
GA
1041C0700X
Clinical Social Worker
Primary
CSW001635
GA
Other
Enumeration date
12/13/2006
Last updated
09/10/2013
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