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Individual

JESAIRA LESHONDA GLOVER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
6909 ROSWELL RD APT J, SANDY SPRINGS, GA 30328-2310
(470) 309-2703
Mailing address
6909 ROSWELL RD APT J, SANDY SPRINGS, GA 30328-2310
(470) 309-2703

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC012474
GA
101YM0800X
Mental Health Counselor
Primary
LPC012474
GA
101YP2500X
Professional Counselor
LPC012474
GA

Other

Enumeration date
10/14/2021
Last updated
10/14/2021
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