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Individual

JESSIE YEARTA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
1845 WALDREP CIR SE, MARIETTA, GA 30060-4927
(770) 432-6388
Mailing address
1845 WALDREP CIR SE, MARIETTA, GA 30060-4927
(770) 432-6388

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC005242
GA

Other

Enumeration date
02/29/2012
Last updated
02/29/2012
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