Individual
JESSICA STEWART
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LAPC
Contact information
Practice address
755 COMMERCE DR STE 903, DECATUR, GA 30030
(678) 893-5300
Mailing address
755 COMMERCE DR STE 903, DECATUR, GA 30030-2624
(678) 893-5300
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC006698
GA
Other
Enumeration date
05/30/2019
Last updated
12/03/2019
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