Individual
JANENE CHANNELL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3166 DELACORTE DR, ACWORTH, GA 30101-1403
(770) 743-2395
Mailing address
3166 DELACORTE DR, ACWORTH, GA 30101-1403
(770) 743-2395
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/02/2017
Last updated
03/02/2017
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