Individual
JACQUELINE RENEE STUBBS
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
250 NORTH AVE, ATHENS, GA 30601-2244
(706) 542-9769
Mailing address
1731 MERIWEATHER DR, STE 102, BOGART, GA 30622-3046
(706) 227-7204
(706) 227-7225
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
LPC003085
GA
Other
Enumeration date
01/31/2006
Last updated
07/08/2007
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