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Organization

SERNA COUNSELING LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JANA LEE SERNA LCSW (THERAPIST)
(770) 842-7168
Entity
Organization

Contact information

Practice address
309 PIRKLE FERRY RD STE A400, CUMMING, GA 30040-2556
(770) 842-7168
Mailing address
309 PIRKLE FERRY RD STE A400, CUMMING, GA 30040-2556
(770) 842-7168

Taxonomy

Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1952670697
INDIVIDUAL NPI
Enumeration date
04/12/2019
Last updated
04/12/2019
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