Individual
AMY FOWLER JAYNES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC, CRC
Contact information
Practice address
130 GOVERNORS SQ STE B, PEACHTREE CITY, GA 30269-4862
(770) 451-0404
Mailing address
130 GOVERNORS SQ STE B, PEACHTREE CITY, GA 30269-4862
(770) 451-0404
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
8499
GA
Other
Enumeration date
08/27/2013
Last updated
01/27/2020
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