Individual
JASON SCOTT PETERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
127 CHURCH ST NE, SUITE 350, MARIETTA, GA 30060-8637
(770) 425-8275
(770) 425-8276
Mailing address
127 CHURCH ST NE, SUITE 350, MARIETTA, GA 30060-8637
(770) 425-8275
(770) 425-8276
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC006025
GA
Other
Enumeration date
08/02/2010
Last updated
08/02/2010
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