Individual
CHAWANIS JEFFERSON ASH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MDIV, CADCII, ICADC
Contact information
Practice address
1226 ROYAL DR SW, SUITE E, CONYERS, GA 30094-5925
(678) 973-1560
(706) 223-6788
Mailing address
1226 ROYAL DR SW, SUITE E, CONYERS, GA 30094-5925
(678) 973-1560
(706) 223-6788
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
760
GA
101YP1600X
Pastoral Counselor
0
GA
Other
Enumeration date
05/12/2014
Last updated
05/12/2014
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