Individual
JENNIFER CARSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
191 LAMAR HALEY PKWY # 8232, CANTON, GA 30114-8019
(800) 729-5700
Mailing address
PO BOX 313, MARBLE HILL, GA 30148-0313
(703) 217-3627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC005050
GA
Other
Enumeration date
01/28/2016
Last updated
11/11/2020
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