Individual
JAZMINE PATTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APC, NCC, CCMHC
Contact information
Practice address
4045 ORCHARD RD SE STE 110, SMYRNA, GA 30080-4904
(770) 293-1953
Mailing address
4960 TERRACE GREEN TRCE, STONE MOUNTAIN, GA 30088-3746
(203) 444-6206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006609
GA
Other
Enumeration date
06/11/2019
Last updated
06/11/2019
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