Individual
MR. JONTAVIUS REED
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APC
Contact information
Practice address
223 GARNET DR S, LIZELLA, GA 31052-4747
(404) 796-6727
Mailing address
223 GARNET DR S, LIZELLA, GA 31052-4747
(404) 796-6727
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
APC010361
GA
101YM0800X
Mental Health Counselor
Primary
APC010361
GA
101YP2500X
Professional Counselor
APC010361
GA
101YS0200X
School Counselor
APC010361
GA
Other
Enumeration date
04/15/2025
Last updated
04/15/2025
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