Individual
JENSI GISE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
140 DECATUR ST SE, ATLANTA, GA 30303-3204
(404) 413-6229
Mailing address
140 DECATUR ST SE, ATLANTA, GA 30303-3204
(404) 413-6229
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
PSY004838
GA
Other
Enumeration date
09/10/2021
Last updated
10/30/2024
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