Individual
JENNA NURIK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, CAC-II, CHT
Contact information
Practice address
3129 BYWATER TRAIL, ROSWELL, GA 30075
(678) 632-1699
Mailing address
3129 BYWATER TRAIL, ROSWELL, GA 30075
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC011252
GA
Other
Enumeration date
08/11/2021
Last updated
08/11/2021
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