Individual
GRACYN PAIGE WISTOSKI JENNINGS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
327 DAHLONEGA ST STE A601, CUMMING, GA 30040-2488
(678) 439-1049
Mailing address
327 DAHLONEGA ST STE A601, CUMMING, GA 30040-2488
(678) 439-1049
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC015777
GA
Other
Enumeration date
02/12/2025
Last updated
05/27/2025
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