Individual
JENNIFER YEA RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1681 SUMMERWOODS CIR, GRIFFIN, GA 30224-8416
(512) 214-7429
Mailing address
1681 SUMMERWOODS CIR, GRIFFIN, GA 30224-8416
(512) 214-7429
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
APC010360
GA
Other
Enumeration date
06/02/2025
Last updated
06/02/2025
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