Individual
MS. JENNY MAE MCIVER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT,MAC
Contact information
Practice address
2935 N ASHLEY ST, VALDOSTA, GA 31602-1777
(229) 333-2273
Mailing address
1229 WILL SMITH RD, WRAY, GA 31798-4513
(912) 383-5924
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFT000919
GA
Other
Enumeration date
07/18/2009
Last updated
07/18/2009
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