Individual
JARED POGUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., LPC.
Contact information
Practice address
687 QUEEN ST SW, ATLANTA, GA 30310-2611
(770) 595-6924
Mailing address
687 QUEEN ST SW, ATLANTA, GA 30310-2611
(770) 595-6924
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC010265
GA
Other
Enumeration date
08/11/2019
Last updated
08/11/2019
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