Individual
JASMAINE ATAGA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, LPC, NCC
Contact information
Practice address
25 SW 5TH TER APT UNIT4422, GAINESVILLE, FL 32601-6219
(470) 985-3580
Mailing address
3103 BLUE HERON PASS, POWDER SPGS, GA 30127-2395
(470) 985-3580
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
011869
GA
Other
Enumeration date
11/18/2020
Last updated
11/18/2020
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