Individual
JESSE MAE STONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
ED., S.
Contact information
Practice address
7920 FAYETTEVILLE RD, FAIRBURN, GA 30213-2973
(404) 918-8381
Mailing address
7920 FAYETTEVILLE RD, FAIRBURN, GA 30213-2973
(404) 918-8381
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
358633
GA
101YM0800X
Mental Health Counselor
Primary
358633
GA
101YP1600X
Pastoral Counselor
358633
GA
101YP2500X
Professional Counselor
358633
GA
101YS0200X
School Counselor
358633
GA
Other
Enumeration date
05/19/2021
Last updated
05/19/2021
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