Individual
JENA A PARHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
1904 MONROE DR NE, ATLANTA, GA 30324-4858
(678) 499-4656
Mailing address
1904 MONROE DR NE, ATLANTA, GA 30324-4858
(678) 499-4656
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
CSW005621
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
NA
—
Enumeration date
03/22/2019
Last updated
06/11/2019
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