Individual
MS. JESSICA CHARISE CANTEEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, MHC, LPC, CEP
Contact information
Practice address
5284 FLOYD RD SW UNIT 767, MABLETON, GA 30126-6107
(678) 460-6334
Mailing address
5284 FLOYD RD SW UNIT 767, MABLETON, GA 30126-6107
(678) 460-6334
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
37PC00880500
NJ
101YP2500X
Professional Counselor
LH61356267
WA
101YP2500X
Professional Counselor
Primary
LPC012698
GA
101YP2500X
Professional Counselor
PC014914
PA
Other
Enumeration date
05/10/2021
Last updated
01/18/2025
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