Organization
JESSICA PARKER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA PARKER LCSW (THERAPIST)
(706) 614-3132
Entity
Organization
Contact information
Practice address
1060 GAINES SCHOOL RD , SUITE A4C, ATHENS, GA 30605
(706) 614-3121
Mailing address
1060 GAINES SCHOOL RD STE A4C, ATHENS, GA 30605-3100
(706) 614-3132
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
CSW005864
GA
Other
Enumeration date
10/24/2016
Last updated
10/24/2016
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