Organization
JEREMIAH TREE CCS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LEEANN GUMULAUSKAS LPC (LPC/OWNER)
(912) 244-9919
Entity
Organization
Contact information
Practice address
501 GLOUCESTER ST STE 117, BRUNSWICK, GA 31520-7030
(912) 244-9919
Mailing address
501 GLOUCESTER ST STE 117, BRUNSWICK, GA 31520-7030
(912) 244-9919
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
07/29/2024
Last updated
07/29/2024
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