Organization
FRESH START COUNSELING AND CONSULTING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACLYN HALLUMS (OWNER)
(470) 844-6908
Entity
Organization
Contact information
Practice address
255 CORPORATE CENTER DR STE C, STOCKBRIDGE, GA 30281-7376
(470) 844-6908
Mailing address
225 EXPEDITION DR, ELLENWOOD, GA 30294-2276
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
101YP2500X
Professional Counselor
—
—
Other
Enumeration date
02/07/2022
Last updated
02/07/2022
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